| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,890 |
21,512 |
$2.38M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,117 |
4,117 |
$521K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,330 |
3,159 |
$437K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,874 |
1,871 |
$226K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,058 |
4,916 |
$90K |
| 90688 |
|
2,532 |
2,530 |
$47K |
| 90756 |
|
835 |
835 |
$25K |
| 3074F |
|
5,583 |
4,313 |
$15K |
| 3078F |
|
5,395 |
4,226 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
3,519 |
3,468 |
$13K |
| 90746 |
|
159 |
159 |
$11K |
| 3079F |
|
1,384 |
1,211 |
$3K |
| 90658 |
|
158 |
158 |
$3K |
| 93000 |
|
226 |
224 |
$3K |
| 0011A |
|
67 |
67 |
$3K |
| 0012A |
|
63 |
63 |
$3K |
| 3075F |
|
1,054 |
920 |
$3K |
| 0013A |
|
51 |
51 |
$2K |
| 90750 |
|
48 |
48 |
$2K |
| 90715 |
|
27 |
27 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
102 |
100 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
26 |
$901.18 |
| 90661 |
|
18 |
18 |
$676.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$438.86 |
| 3077F |
|
96 |
83 |
$242.00 |
| 3080F |
|
68 |
64 |
$188.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
35 |
35 |
$110.00 |
| 96127 |
|
14 |
14 |
$71.26 |
| 3048F |
|
14 |
12 |
$9.00 |
| 91301 |
|
166 |
166 |
$0.32 |