| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,686 |
5,330 |
$341K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
974 |
800 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,188 |
1,103 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
196 |
189 |
$18K |
| 93000 |
|
543 |
517 |
$6K |
| 90756 |
|
320 |
293 |
$5K |
| 99397 |
|
27 |
27 |
$3K |
| 90686 |
|
131 |
128 |
$2K |
| 90688 |
|
151 |
135 |
$2K |
| 90746 |
|
25 |
25 |
$1K |
| 93922 |
|
13 |
12 |
$684.83 |
| 90662 |
|
47 |
44 |
$448.81 |
| 90715 |
|
12 |
12 |
$358.59 |
| 36415 |
Collection of venous blood by venipuncture |
170 |
158 |
$289.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$236.40 |
| G0008 |
Administration of influenza virus vaccine |
32 |
29 |
$0.15 |
| 3078F |
|
653 |
591 |
$0.00 |
| 3725F |
|
587 |
537 |
$0.00 |
| 3074F |
|
639 |
572 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
25 |
$0.00 |
| 3075F |
|
90 |
86 |
$0.00 |
| 3079F |
|
33 |
27 |
$0.00 |
| 3044F |
|
34 |
27 |
$0.00 |
| 3048F |
|
14 |
13 |
$0.00 |