| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,914 |
2,504 |
$145K |
| 99215 |
Prolong outpt/office vis |
1,720 |
1,609 |
$133K |
| 99335 |
|
1,630 |
1,587 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,117 |
930 |
$31K |
| 99336 |
|
216 |
213 |
$7K |
| 99349 |
|
37 |
37 |
$2K |
| 99305 |
|
202 |
151 |
$2K |
| 99334 |
|
74 |
73 |
$1K |
| 99350 |
Prolong home eval add 15m |
15 |
15 |
$1K |
| 86580 |
|
143 |
142 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
94 |
92 |
$1K |
| 99448 |
|
33 |
31 |
$1K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
39 |
39 |
$1K |
| 99348 |
|
16 |
16 |
$834.30 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
37 |
37 |
$375.00 |
| G0008 |
Administration of influenza virus vaccine |
52 |
52 |
$280.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$202.46 |
| 99000 |
|
31 |
27 |
$131.76 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
13 |
$91.60 |
| 99072 |
|
30 |
26 |
$75.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
12 |
$42.53 |