| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,751 |
1,544 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,462 |
1,281 |
$51K |
| 99490 |
Ccm add 20min |
2,982 |
2,427 |
$33K |
| 99199 |
Unlisted special service, procedure or report |
2,725 |
2,691 |
$11K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
660 |
160 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
42 |
$4K |
| 99442 |
|
114 |
67 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
158 |
122 |
$1K |
| 90674 |
|
105 |
92 |
$993.84 |
| 82962 |
|
610 |
548 |
$950.74 |
| 99406 |
|
110 |
83 |
$844.08 |
| 90686 |
|
109 |
103 |
$727.34 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
68 |
56 |
$628.90 |
| 99443 |
|
26 |
17 |
$625.69 |
| 90688 |
|
92 |
34 |
$499.80 |
| 90756 |
|
36 |
26 |
$431.08 |
| 36415 |
Collection of venous blood by venipuncture |
157 |
153 |
$329.40 |
| 90687 |
|
60 |
22 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
65 |
65 |
$0.00 |