| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,783 |
3,855 |
$276K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,017 |
829 |
$60K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
318 |
291 |
$34K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
251 |
222 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
437 |
396 |
$18K |
| 90682 |
|
274 |
247 |
$13K |
| 3008F |
|
1,512 |
1,281 |
$2K |
| 99406 |
|
213 |
168 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$1K |
| 95115 |
|
236 |
44 |
$1K |
| 90686 |
|
48 |
41 |
$741.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
293 |
262 |
$651.17 |
| 3011F |
|
180 |
174 |
$624.00 |
| 99173 |
|
154 |
149 |
$372.84 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$282.48 |
| G0008 |
Administration of influenza virus vaccine |
49 |
43 |
$274.20 |
| 99401 |
|
382 |
297 |
$166.62 |
| 99050 |
|
15 |
12 |
$134.40 |
| 0513F |
|
34 |
31 |
$57.00 |