| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,178 |
16,611 |
$836K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,174 |
1,106 |
$88K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
239 |
237 |
$25K |
| 90686 |
|
1,089 |
1,083 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
756 |
661 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,135 |
1,127 |
$16K |
| 3074F |
|
6,231 |
5,304 |
$8K |
| 3078F |
|
6,210 |
5,324 |
$7K |
| 3079F |
|
3,227 |
2,941 |
$4K |
| 90688 |
|
203 |
203 |
$3K |
| 3077F |
|
2,083 |
1,857 |
$3K |
| 3075F |
|
2,241 |
2,091 |
$3K |
| 93000 |
|
150 |
149 |
$2K |
| 3080F |
|
1,012 |
894 |
$2K |
| 90656 |
|
55 |
54 |
$978.33 |
| 90674 |
|
21 |
20 |
$601.79 |
| 90756 |
|
24 |
24 |
$567.26 |
| G0008 |
Administration of influenza virus vaccine |
227 |
227 |
$350.66 |
| 1170F |
|
1,735 |
1,473 |
$285.00 |
| 1159F |
|
1,725 |
1,461 |
$285.00 |
| 1160F |
|
1,724 |
1,460 |
$275.00 |
| 1126F |
|
1,096 |
960 |
$150.00 |
| 3044F |
|
212 |
209 |
$120.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
45 |
45 |
$53.78 |
| 1125F |
|
156 |
145 |
$15.00 |
| 3008F |
|
9,940 |
8,116 |
$0.00 |
| 3049F |
|
53 |
53 |
$0.00 |
| 99429 |
|
147 |
123 |
$0.00 |
| 3048F |
|
106 |
106 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 1158F |
|
1,731 |
1,469 |
$0.00 |