| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,246 |
3,559 |
$239K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,480 |
3,499 |
$163K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
60 |
59 |
$6K |
| 93922 |
|
125 |
100 |
$4K |
| 94010 |
|
169 |
154 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
869 |
836 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
80 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
138 |
98 |
$2K |
| 90674 |
|
103 |
88 |
$1K |
| 90686 |
|
76 |
75 |
$716.83 |
| 0012A |
|
17 |
17 |
$461.60 |
| 0011A |
|
22 |
22 |
$411.77 |
| 0013A |
|
17 |
17 |
$270.90 |
| 90688 |
|
21 |
17 |
$242.57 |
| 99499 |
|
265 |
189 |
$0.40 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$0.00 |