| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,574 |
3,510 |
$353K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,583 |
3,259 |
$212K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
880 |
879 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,119 |
760 |
$33K |
| 93000 |
|
1,368 |
1,358 |
$21K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
242 |
224 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
430 |
426 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
5,944 |
5,073 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
418 |
379 |
$4K |
| 90686 |
|
194 |
193 |
$3K |
| 90756 |
|
166 |
166 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
23 |
13 |
$2K |
| 90688 |
|
135 |
133 |
$2K |
| 99442 |
|
14 |
14 |
$1K |
| 90674 |
|
43 |
42 |
$742.41 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
14 |
14 |
$700.00 |
| 99397 |
|
14 |
14 |
$547.57 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
90 |
90 |
$510.75 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
92 |
92 |
$441.38 |
| G0008 |
Administration of influenza virus vaccine |
168 |
168 |
$222.71 |
| 99000 |
|
2,217 |
1,835 |
$66.49 |
| 90662 |
|
12 |
12 |
$60.98 |
| 0513F |
|
21 |
20 |
$40.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
24 |
13 |
$14.45 |
| 3288F |
|
72 |
71 |
$0.00 |
| 1100F |
|
72 |
71 |
$0.00 |
| 1101F |
|
72 |
71 |
$0.00 |
| 3074F |
|
18 |
14 |
$0.00 |