| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,115 |
3,109 |
$373K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,195 |
4,006 |
$346K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
602 |
601 |
$68K |
| 99442 |
|
619 |
604 |
$50K |
| 94729 |
|
429 |
429 |
$24K |
| 94726 |
|
446 |
446 |
$21K |
| 94014 |
|
386 |
386 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
130 |
130 |
$17K |
| 94664 |
|
814 |
811 |
$12K |
| 94010 |
|
222 |
222 |
$6K |
| 90756 |
|
215 |
215 |
$6K |
| 95012 |
|
181 |
178 |
$4K |
| 99051 |
|
506 |
482 |
$3K |
| 99406 |
|
207 |
207 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
106 |
$2K |
| 93000 |
|
90 |
90 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
69 |
69 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
71 |
71 |
$1K |
| 90661 |
|
35 |
35 |
$969.42 |
| 36415 |
Collection of venous blood by venipuncture |
547 |
547 |
$667.96 |
| A4617 |
Mouth piece |
77 |
77 |
$12.88 |