| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,802 |
8,313 |
$586K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,674 |
7,064 |
$424K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,126 |
1,098 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
94 |
94 |
$12K |
| 90682 |
|
134 |
131 |
$6K |
| 90688 |
|
461 |
460 |
$6K |
| 99497 |
|
195 |
195 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
5,687 |
5,584 |
$4K |
| 90750 |
|
25 |
25 |
$2K |
| 0134A |
|
109 |
108 |
$980.05 |
| 90673 |
|
13 |
13 |
$943.04 |
| 90658 |
|
44 |
44 |
$839.38 |
| 0013A |
|
15 |
15 |
$567.00 |
| 0003A |
|
14 |
14 |
$527.00 |
| 90653 |
|
126 |
126 |
$355.36 |
| 90662 |
|
326 |
324 |
$347.53 |
| 90694 |
|
430 |
429 |
$305.89 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
42 |
$145.78 |
| 93000 |
|
16 |
16 |
$121.63 |
| 0064A |
|
23 |
23 |
$83.54 |
| G0008 |
Administration of influenza virus vaccine |
900 |
895 |
$71.84 |
| 3078F |
|
14 |
13 |
$15.00 |
| 3074F |
|
14 |
13 |
$15.00 |
| 91313 |
|
101 |
101 |
$0.16 |
| 91306 |
|
22 |
22 |
$0.03 |
| 91320 |
|
39 |
39 |
$0.00 |
| 1160F |
|
25 |
25 |
$0.00 |
| 1159F |
|
25 |
25 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
38 |
38 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
159 |
158 |
$0.00 |
| 90480 |
|
39 |
39 |
$0.00 |
| 99429 |
|
40 |
29 |
$0.00 |