| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,007 |
7,026 |
$367K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,362 |
2,213 |
$66K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
534 |
534 |
$57K |
| 99397 |
|
213 |
213 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,059 |
1,039 |
$21K |
| 90688 |
|
927 |
924 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
565 |
537 |
$15K |
| 93000 |
|
1,532 |
1,527 |
$10K |
| 99442 |
|
155 |
140 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
63 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,409 |
3,287 |
$5K |
| 99441 |
|
84 |
80 |
$3K |
| 90746 |
|
38 |
38 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
43 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 96112 |
|
14 |
14 |
$395.77 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
24 |
$377.38 |
| 3079F |
|
63 |
61 |
$63.00 |
| 3074F |
|
38 |
34 |
$22.00 |
| 3077F |
|
17 |
16 |
$17.00 |
| G0008 |
Administration of influenza virus vaccine |
23 |
23 |
$16.20 |
| 3075F |
|
13 |
12 |
$13.00 |
| 1101F |
|
13 |
13 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 3725F |
|
13 |
13 |
$0.00 |
| 3078F |
|
15 |
13 |
$0.00 |