| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,237 |
3,124 |
$306K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
803 |
769 |
$63K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
244 |
239 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
700 |
691 |
$11K |
| 99051 |
|
1,616 |
1,548 |
$11K |
| 90682 |
|
179 |
172 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
52 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
215 |
212 |
$6K |
| 99215 |
Prolong outpt/office vis |
39 |
39 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
88 |
$4K |
| 90686 |
|
239 |
235 |
$4K |
| 90750 |
|
28 |
27 |
$3K |
| 91322 |
|
59 |
57 |
$3K |
| 0064A |
|
64 |
64 |
$2K |
| 97803 |
|
133 |
133 |
$1K |
| 0011A |
|
62 |
62 |
$1K |
| 91320 |
|
27 |
27 |
$1K |
| 99349 |
|
13 |
12 |
$550.95 |
| 0012A |
|
19 |
19 |
$469.22 |
| 0134A |
|
25 |
25 |
$462.43 |
| 36415 |
Collection of venous blood by venipuncture |
406 |
402 |
$404.61 |
| 0013A |
|
17 |
16 |
$389.73 |
| 90480 |
|
90 |
88 |
$362.63 |
| 99406 |
|
25 |
25 |
$302.35 |
| 90630 |
|
13 |
13 |
$242.09 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
24 |
$155.37 |
| 99454 |
|
14 |
13 |
$83.33 |
| 91301 |
|
151 |
149 |
$11.25 |
| 91306 |
|
15 |
15 |
$6.30 |
| 91300 |
|
14 |
14 |
$5.40 |
| G0008 |
Administration of influenza virus vaccine |
84 |
80 |
$0.00 |