| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,815 |
3,301 |
$205K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
790 |
719 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
297 |
281 |
$25K |
| 90682 |
|
222 |
218 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
645 |
617 |
$11K |
| 90750 |
|
106 |
101 |
$10K |
| 90677 |
|
48 |
48 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,576 |
2,389 |
$3K |
| 90673 |
|
36 |
34 |
$3K |
| 90688 |
|
53 |
53 |
$914.23 |
| 99442 |
|
27 |
25 |
$889.42 |
| 0013A |
|
22 |
22 |
$835.62 |
| 90662 |
|
290 |
277 |
$580.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
25 |
$309.02 |
| 90756 |
|
15 |
15 |
$305.69 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
25 |
25 |
$271.90 |
| G0008 |
Administration of influenza virus vaccine |
286 |
273 |
$94.60 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$19.83 |