| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,002 |
4,369 |
$272K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
769 |
704 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
92 |
89 |
$8K |
| 99442 |
|
74 |
72 |
$2K |
| 96127 |
|
275 |
266 |
$927.42 |
| 99484 |
|
32 |
31 |
$794.47 |
| 99215 |
Prolong outpt/office vis |
18 |
18 |
$671.32 |
| 90686 |
|
80 |
72 |
$537.71 |
| 90674 |
|
80 |
53 |
$369.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
38 |
$365.64 |
| 81002 |
|
62 |
52 |
$134.19 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
49 |
42 |
$66.52 |
| G0008 |
Administration of influenza virus vaccine |
28 |
26 |
$9.03 |
| 99499 |
|
1,425 |
1,227 |
$4.18 |
| 3079F |
|
18 |
12 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |
| 3078F |
|
171 |
128 |
$0.00 |
| 3077F |
|
56 |
42 |
$0.00 |