| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,046 |
18,050 |
$766K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,029 |
5,362 |
$262K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,713 |
1,469 |
$134K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
905 |
796 |
$70K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,339 |
1,218 |
$7K |
| 90686 |
|
1,153 |
1,064 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
94 |
$4K |
| 99386 |
|
125 |
120 |
$4K |
| 99442 |
|
101 |
91 |
$4K |
| 99496 |
|
27 |
25 |
$3K |
| 99385 |
|
88 |
83 |
$2K |
| 99441 |
|
44 |
42 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
233 |
208 |
$903.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
25 |
$552.60 |
| 90674 |
|
70 |
69 |
$503.75 |
| 93000 |
|
44 |
41 |
$261.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
26 |
$178.99 |
| 99406 |
|
159 |
104 |
$150.30 |
| 90662 |
|
70 |
64 |
$135.29 |
| G0008 |
Administration of influenza virus vaccine |
232 |
208 |
$52.50 |
| 82962 |
|
303 |
280 |
$3.22 |
| 3078F |
|
1,064 |
922 |
$0.00 |
| 3288F |
|
33 |
31 |
$0.00 |
| 83037 |
|
99 |
97 |
$0.00 |
| 3077F |
|
31 |
29 |
$0.00 |
| 99072 |
|
25 |
25 |
$0.00 |
| 3074F |
|
1,234 |
1,091 |
$0.00 |
| 3079F |
|
112 |
80 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
156 |
139 |
$0.00 |
| 3044F |
|
17 |
13 |
$0.00 |
| 3075F |
|
20 |
13 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |