| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,556 |
2,981 |
$159K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,915 |
3,069 |
$119K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
216 |
201 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
36 |
$2K |
| 90674 |
|
94 |
86 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
621 |
553 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
19 |
14 |
$755.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
56 |
$688.36 |
| 90756 |
|
63 |
59 |
$526.03 |
| 93000 |
|
49 |
44 |
$407.19 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
71 |
60 |
$394.89 |
| 90656 |
|
63 |
58 |
$353.93 |
| G0008 |
Administration of influenza virus vaccine |
116 |
106 |
$298.83 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
13 |
$44.80 |
| 82962 |
|
14 |
12 |
$15.33 |