| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,415 |
6,087 |
$382K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,611 |
2,611 |
$241K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,274 |
2,253 |
$189K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
541 |
541 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,946 |
1,937 |
$33K |
| 90686 |
|
981 |
980 |
$18K |
| 90688 |
|
460 |
460 |
$9K |
| 90674 |
|
262 |
262 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
7,017 |
6,979 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
238 |
238 |
$5K |
| 90661 |
|
151 |
151 |
$3K |
| 3079F |
|
414 |
413 |
$2K |
| 3074F |
|
381 |
380 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| 3078F |
|
195 |
195 |
$1K |
| 0004A |
|
23 |
23 |
$952.48 |
| 3075F |
|
140 |
140 |
$630.00 |
| 3044F |
|
78 |
78 |
$520.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
29 |
29 |
$441.31 |
| 90694 |
|
15 |
15 |
$123.78 |
| 3077F |
|
114 |
114 |
$24.50 |
| 3080F |
|
39 |
39 |
$15.00 |
| 91300 |
|
17 |
17 |
$0.16 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
23 |
23 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |