| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,728 |
10,009 |
$314K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,712 |
2,618 |
$92K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
525 |
110 |
$81K |
| 99402 |
|
2,127 |
2,117 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,620 |
2,231 |
$47K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
526 |
495 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
180 |
172 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
150 |
150 |
$9K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
41 |
37 |
$5K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
26 |
26 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
92 |
90 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$741.39 |
| 90686 |
|
121 |
120 |
$645.01 |
| 36415 |
Collection of venous blood by venipuncture |
141 |
138 |
$341.72 |
| 90656 |
|
38 |
38 |
$313.57 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
135 |
135 |
$297.08 |
| G0008 |
Administration of influenza virus vaccine |
91 |
91 |
$61.24 |
| 99442 |
|
14 |
14 |
$58.95 |