| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,680 |
5,004 |
$260K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,804 |
2,573 |
$143K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
258 |
240 |
$23K |
| 99442 |
|
279 |
182 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
32 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
234 |
214 |
$3K |
| 80306 |
|
2,579 |
1,486 |
$3K |
| 80305 |
|
715 |
397 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
200 |
178 |
$1K |
| 90658 |
|
173 |
157 |
$1K |
| 99443 |
|
89 |
81 |
$903.46 |
| 99422 |
|
24 |
24 |
$725.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
49 |
$242.02 |
| 90756 |
|
12 |
12 |
$23.55 |
| 99173 |
|
16 |
14 |
$3.27 |
| 90674 |
|
16 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
30 |
$0.00 |