| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,614 |
7,015 |
$360K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,657 |
5,834 |
$233K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
215 |
204 |
$16K |
| 99490 |
Ccm add 20min |
3,906 |
2,709 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,380 |
516 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
43 |
$4K |
| 90688 |
|
658 |
507 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
496 |
389 |
$3K |
| 99397 |
|
42 |
41 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
27 |
$2K |
| 82962 |
|
2,309 |
1,747 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
610 |
457 |
$1K |
| 81002 |
|
735 |
558 |
$817.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
286 |
243 |
$689.76 |
| G0008 |
Administration of influenza virus vaccine |
238 |
161 |
$56.92 |
| 99000 |
|
29 |
18 |
$18.40 |