| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,161 |
1,946 |
$123K |
| 99442 |
|
2,621 |
2,350 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,796 |
1,594 |
$76K |
| 99487 |
Ccm add 20min |
422 |
422 |
$24K |
| 99401 |
|
626 |
554 |
$14K |
| 99441 |
|
158 |
144 |
$5K |
| 93000 |
|
339 |
332 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
59 |
$1K |
| 90756 |
|
52 |
52 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
35 |
$492.50 |
| 90674 |
|
12 |
12 |
$359.28 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
311 |
304 |
$51.60 |
| 3074F |
|
88 |
79 |
$2.12 |
| 36415 |
Collection of venous blood by venipuncture |
165 |
157 |
$0.80 |
| 3078F |
|
77 |
72 |
$0.00 |
| 3725F |
|
30 |
30 |
$0.00 |
| 1160F |
|
30 |
30 |
$0.00 |
| 99497 |
|
23 |
23 |
$0.00 |
| 1126F |
|
30 |
30 |
$0.00 |
| 1170F |
|
30 |
30 |
$0.00 |
| 3079F |
|
45 |
42 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
30 |
$0.00 |