| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,119 |
5,514 |
$182K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,276 |
1,838 |
$37K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,398 |
547 |
$33K |
| 99401 |
|
930 |
896 |
$19K |
| 99454 |
|
1,350 |
1,162 |
$4K |
| 99457 |
|
1,687 |
1,438 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
279 |
239 |
$3K |
| 90674 |
|
133 |
126 |
$2K |
| 99497 |
|
206 |
171 |
$1K |
| 90756 |
|
165 |
125 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$892.12 |
| 90688 |
|
87 |
85 |
$717.14 |
| 96103 |
|
61 |
57 |
$550.61 |
| 90658 |
|
33 |
32 |
$535.82 |
| 94060 |
|
51 |
43 |
$463.65 |
| 96127 |
|
222 |
186 |
$432.30 |
| 90661 |
|
48 |
47 |
$405.35 |
| 90694 |
|
23 |
23 |
$265.72 |
| 99490 |
Ccm add 20min |
53 |
40 |
$235.80 |
| 99458 |
|
184 |
174 |
$159.02 |
| 93922 |
|
15 |
13 |
$142.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
26 |
$117.79 |
| 3078F |
|
331 |
274 |
$101.17 |
| 96130 |
|
13 |
13 |
$99.00 |
| G0008 |
Administration of influenza virus vaccine |
162 |
161 |
$80.50 |
| 3074F |
|
146 |
121 |
$45.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
17 |
$31.56 |
| 3044F |
|
111 |
108 |
$9.00 |
| 1170F |
|
28 |
26 |
$8.02 |
| 1160F |
|
12 |
12 |
$4.00 |
| 1125F |
|
27 |
25 |
$2.02 |
| 3077F |
|
15 |
12 |
$2.00 |
| 3725F |
|
618 |
595 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 99453 |
|
45 |
44 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
13 |
$0.00 |