| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,784 |
3,559 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,598 |
1,157 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
227 |
227 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
183 |
179 |
$10K |
| 93000 |
|
740 |
708 |
$8K |
| 99441 |
|
113 |
100 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
148 |
$2K |
| 99442 |
|
95 |
81 |
$2K |
| 90756 |
|
104 |
103 |
$2K |
| 90688 |
|
119 |
114 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$830.79 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
43 |
$599.59 |
| G0008 |
Administration of influenza virus vaccine |
131 |
130 |
$519.48 |
| 36415 |
Collection of venous blood by venipuncture |
334 |
326 |
$466.74 |
| 90656 |
|
40 |
40 |
$352.49 |
| 90686 |
|
35 |
35 |
$341.28 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
27 |
22 |
$118.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
32 |
$14.44 |