| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,936 |
2,330 |
$126K |
| 93000 |
|
780 |
713 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
39 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
996 |
895 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
46 |
46 |
$566.81 |
| 90756 |
|
28 |
28 |
$547.48 |
| 90674 |
|
13 |
12 |
$205.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$205.01 |
| 90686 |
|
15 |
13 |
$156.02 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
24 |
24 |
$29.83 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
18 |
$0.00 |