| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,400 |
1,040 |
$83K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
284 |
261 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
268 |
247 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
119 |
117 |
$12K |
| 99401 |
|
221 |
212 |
$6K |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
183 |
182 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
75 |
72 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 99385 |
|
13 |
13 |
$1K |
| 90715 |
|
30 |
30 |
$1K |
| 93000 |
|
15 |
14 |
$195.06 |
| 90688 |
|
14 |
14 |
$140.00 |
| 96127 |
|
29 |
29 |
$128.18 |
| 99173 |
|
34 |
34 |
$15.30 |
| G0008 |
Administration of influenza virus vaccine |
184 |
182 |
$11.00 |
| 0521F |
|
151 |
148 |
$0.00 |
| 80061 |
Lipid panel |
117 |
114 |
$0.00 |
| 1160F |
|
49 |
49 |
$0.00 |
| 3078F |
|
14 |
13 |
$0.00 |
| 1159F |
|
77 |
76 |
$0.00 |
| 81002 |
|
307 |
288 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
29 |
29 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |
| 1125F |
|
158 |
155 |
$0.00 |
| 82043 |
|
119 |
115 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
367 |
332 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
120 |
116 |
$0.00 |
| 3008F |
|
57 |
57 |
$0.00 |
| 3011F |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
117 |
107 |
$0.00 |