| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,640 |
10,636 |
$794K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,856 |
7,020 |
$686K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,200 |
2,192 |
$203K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,825 |
1,819 |
$159K |
| 99497 |
|
1,824 |
1,819 |
$125K |
| 99385 |
|
318 |
317 |
$30K |
| 99386 |
|
133 |
133 |
$15K |
| 90686 |
|
370 |
370 |
$7K |
| 99490 |
Ccm add 20min |
1,185 |
1,183 |
$5K |
| 81000 |
|
702 |
653 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
418 |
418 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
838 |
826 |
$521.01 |
| 93000 |
|
12 |
12 |
$165.48 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$111.14 |
| 99072 |
|
208 |
167 |
$0.00 |