| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,093 |
3,798 |
$339K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,144 |
1,132 |
$140K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
558 |
538 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,106 |
1,083 |
$19K |
| 90686 |
|
469 |
467 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63 |
62 |
$7K |
| 90674 |
|
161 |
161 |
$5K |
| 90688 |
|
136 |
136 |
$2K |
| 99441 |
|
42 |
42 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,714 |
1,682 |
$1K |
| 99442 |
|
12 |
12 |
$821.79 |
| 0124A |
|
17 |
17 |
$650.62 |
| 90661 |
|
15 |
15 |
$436.63 |
| 90756 |
|
13 |
13 |
$355.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
18 |
$251.07 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$79.46 |
| 3078F |
|
12 |
12 |
$5.00 |
| 90750 |
|
29 |
29 |
$0.24 |
| 91312 |
|
14 |
14 |
$0.08 |
| 90679 |
|
12 |
12 |
$0.07 |
| 3008F |
|
37 |
37 |
$0.00 |