| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,112 |
9,135 |
$470K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,065 |
4,413 |
$228K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,832 |
1,781 |
$128K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
581 |
560 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,974 |
1,925 |
$22K |
| 90658 |
|
1,311 |
1,290 |
$21K |
| 99215 |
Prolong outpt/office vis |
232 |
232 |
$18K |
| 90688 |
|
770 |
753 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
94 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
157 |
154 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,520 |
3,322 |
$6K |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
172 |
146 |
$3K |
| 99397 |
|
80 |
76 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
164 |
161 |
$1K |
| 87110 |
|
364 |
317 |
$1K |
| 3078F |
|
7,738 |
4,800 |
$792.81 |
| 3074F |
|
7,731 |
4,800 |
$790.81 |
| 92553 |
|
15 |
14 |
$162.40 |
| 1126F |
|
317 |
305 |
$29.02 |
| 1170F |
|
325 |
312 |
$27.02 |
| 3044F |
|
255 |
227 |
$15.02 |
| 1159F |
|
178 |
165 |
$1.00 |
| 1160F |
|
176 |
162 |
$1.00 |
| 1123F |
|
186 |
172 |
$0.02 |
| 1158F |
|
100 |
100 |
$0.00 |
| 99072 |
|
1,487 |
1,050 |
$0.00 |
| 1100F |
|
17 |
13 |
$0.00 |
| 3049F |
|
34 |
31 |
$0.00 |
| 0509F |
|
301 |
260 |
$0.00 |
| 1101F |
|
161 |
142 |
$0.00 |
| 3048F |
|
52 |
51 |
$0.00 |
| 4037F |
|
75 |
75 |
$0.00 |
| 1030F |
|
64 |
63 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |