| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,448 |
2,705 |
$94K |
| 99215 |
Prolong outpt/office vis |
1,107 |
872 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
748 |
660 |
$14K |
| 36410 |
|
1,790 |
1,691 |
$12K |
| 80305 |
|
627 |
548 |
$1K |
| 81003 |
|
1,422 |
1,379 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$610.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
56 |
$376.19 |
| 90688 |
|
69 |
68 |
$188.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
14 |
$175.36 |
| 93000 |
|
20 |
18 |
$160.98 |
| 99354 |
|
12 |
12 |
$62.40 |
| 90662 |
|
41 |
39 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
47 |
44 |
$0.00 |
| 81001 |
|
216 |
207 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
12 |
$0.00 |