| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,071 |
1,037 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
446 |
428 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
237 |
231 |
$2K |
| 90686 |
|
91 |
90 |
$2K |
| 90682 |
|
17 |
17 |
$822.93 |
| 92552 |
|
65 |
61 |
$791.59 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$730.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
61 |
$437.68 |
| 81002 |
|
160 |
154 |
$350.87 |
| 99000 |
|
158 |
157 |
$260.30 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$260.00 |
| 85018 |
|
130 |
123 |
$120.58 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
72 |
67 |
$105.00 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
33 |
$75.00 |
| 99173 |
|
67 |
64 |
$9.12 |
| G8482 |
Influenza immunization administered or previously received |
20 |
20 |
$0.00 |
| 4035F |
|
14 |
14 |
$0.00 |
| 90461 |
|
35 |
13 |
$0.00 |
| 1159F |
|
13 |
13 |
$0.00 |
| 99401 |
|
14 |
14 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |
| 1030F |
|
13 |
13 |
$0.00 |
| 1000F |
|
16 |
16 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |