| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,583 |
5,340 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
324 |
324 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,061 |
1,865 |
$3K |
| 90688 |
|
268 |
267 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
515 |
512 |
$1K |
| 36410 |
|
865 |
861 |
$836.10 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
595 |
595 |
$705.20 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
42 |
12 |
$668.91 |
| 90662 |
|
155 |
155 |
$459.80 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$203.74 |
| G0008 |
Administration of influenza virus vaccine |
126 |
126 |
$99.98 |
| 99441 |
|
19 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
48 |
48 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
109 |
107 |
$0.00 |