| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,083 |
2,773 |
$71K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
249 |
249 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
327 |
316 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
1,636 |
1,585 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97 |
78 |
$1K |
| 90674 |
|
47 |
47 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
96 |
89 |
$794.49 |
| 90756 |
|
32 |
32 |
$694.94 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$662.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
49 |
$553.03 |
| 90658 |
|
15 |
15 |
$270.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$109.46 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$98.14 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
12 |
$9.84 |