| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,903 |
2,511 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,051 |
998 |
$617.48 |
| 90686 |
|
71 |
70 |
$23.26 |
| 36415 |
Collection of venous blood by venipuncture |
1,352 |
1,338 |
$22.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
103 |
$4.46 |
| 3078F |
|
326 |
324 |
$0.00 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
41 |
41 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
227 |
161 |
$0.00 |
| 99423 |
|
37 |
34 |
$0.00 |
| 99442 |
|
16 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
23 |
18 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
65 |
64 |
$0.00 |
| 90656 |
|
28 |
26 |
$0.00 |
| 3074F |
|
219 |
219 |
$0.00 |
| 99443 |
|
31 |
27 |
$0.00 |
| 96127 |
|
39 |
39 |
$0.00 |
| 88150 |
|
14 |
14 |
$0.00 |