| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,185 |
1,152 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,546 |
2,383 |
$306.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
131 |
129 |
$49.58 |
| 92552 |
|
82 |
82 |
$16.52 |
| 99173 |
|
74 |
74 |
$11.50 |
| 1036F |
|
17 |
17 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
65 |
$0.00 |
| 1170F |
|
29 |
29 |
$0.00 |
| 3008F |
|
276 |
272 |
$0.00 |
| 1000F |
|
29 |
29 |
$0.00 |
| 90688 |
|
25 |
25 |
$0.00 |
| 1101F |
|
16 |
16 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
29 |
29 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
17 |
$0.00 |
| 1090F |
|
29 |
29 |
$0.00 |
| 3725F |
|
56 |
56 |
$0.00 |
| 1003F |
|
29 |
29 |
$0.00 |
| 99397 |
|
30 |
30 |
$0.00 |
| 3288F |
|
29 |
29 |
$0.00 |
| 1158F |
|
29 |
29 |
$0.00 |
| 1159F |
|
29 |
29 |
$0.00 |
| 1160F |
|
29 |
29 |
$0.00 |
| 90658 |
|
14 |
14 |
$0.00 |