| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,730 |
3,519 |
$110K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,696 |
396 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
447 |
410 |
$5K |
| 99442 |
|
74 |
68 |
$4K |
| 99215 |
Prolong outpt/office vis |
95 |
94 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
18 |
$562.51 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$266.11 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
54 |
$250.97 |
| 99335 |
|
13 |
13 |
$140.98 |
| 90686 |
|
43 |
43 |
$11.26 |
| 36415 |
Collection of venous blood by venipuncture |
410 |
380 |
$9.38 |
| 90688 |
|
30 |
30 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
72 |
72 |
$0.00 |