| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,022 |
4,789 |
$315K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,067 |
1,041 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
505 |
498 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
33 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$1K |
| 91320 |
|
17 |
17 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
216 |
212 |
$1K |
| 90686 |
|
223 |
220 |
$901.01 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
808 |
765 |
$862.33 |
| 90656 |
|
56 |
55 |
$597.94 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
53 |
$434.70 |
| 90480 |
|
17 |
17 |
$400.00 |
| 36415 |
Collection of venous blood by venipuncture |
191 |
188 |
$350.46 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
26 |
$313.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
109 |
108 |
$154.33 |
| 90715 |
|
12 |
12 |
$76.58 |
| 90694 |
|
13 |
12 |
$6.78 |
| 90734 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |