| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,030 |
13,636 |
$724K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,687 |
2,649 |
$147K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
942 |
936 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
937 |
845 |
$45K |
| 99397 |
|
561 |
551 |
$30K |
| 99457 |
|
1,631 |
1,560 |
$19K |
| 90658 |
|
675 |
673 |
$12K |
| 99454 |
|
710 |
692 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
829 |
767 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
50 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,554 |
1,529 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
102 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
256 |
255 |
$1K |
| 99000 |
|
1,381 |
1,358 |
$617.38 |
| 90756 |
|
139 |
107 |
$591.08 |
| 99458 |
|
39 |
35 |
$438.80 |
| 99453 |
|
29 |
29 |
$158.33 |
| 1170F |
|
22 |
21 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
60 |
55 |
$0.00 |
| 1125F |
|
24 |
23 |
$0.00 |
| 1159F |
|
22 |
21 |
$0.00 |
| 99490 |
Ccm add 20min |
28 |
28 |
$0.00 |
| 1160F |
|
22 |
21 |
$0.00 |