| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,068 |
8,445 |
$566K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,507 |
7,172 |
$354K |
| 99215 |
Prolong outpt/office vis |
177 |
156 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
178 |
165 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
452 |
407 |
$9K |
| 90688 |
|
739 |
578 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
74 |
71 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
54 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
74 |
$2K |
| 99397 |
|
29 |
29 |
$1K |
| 99354 |
|
34 |
25 |
$1K |
| 90658 |
|
40 |
40 |
$1K |
| 96127 |
|
171 |
157 |
$617.46 |
| 82962 |
|
563 |
444 |
$609.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
12 |
$291.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
12 |
$208.24 |
| 93000 |
|
16 |
16 |
$193.00 |
| G0008 |
Administration of influenza virus vaccine |
137 |
97 |
$83.87 |
| 96160 |
|
28 |
28 |
$79.94 |
| 99497 |
|
31 |
31 |
$70.57 |
| 81002 |
|
38 |
32 |
$56.64 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
40 |
40 |
$0.00 |
| 3008F |
|
16 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
30 |
29 |
$0.00 |