| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,631 |
2,324 |
$44K |
| 99490 |
Ccm add 20min |
1,839 |
1,838 |
$19K |
| 99457 |
|
1,467 |
1,467 |
$16K |
| 99454 |
|
745 |
743 |
$16K |
| 99458 |
|
261 |
260 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
176 |
148 |
$2K |
| 99439 |
|
235 |
234 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
217 |
180 |
$739.73 |
| 99453 |
|
75 |
75 |
$384.10 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
16 |
$235.69 |
| 99497 |
|
25 |
25 |
$84.42 |
| 90756 |
|
32 |
32 |
$55.42 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
42 |
32 |
$54.09 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
59 |
47 |
$49.66 |
| G0008 |
Administration of influenza virus vaccine |
75 |
75 |
$11.25 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
12 |
12 |
$0.81 |
| 90653 |
|
32 |
32 |
$0.80 |
| 81002 |
|
14 |
14 |
$0.10 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |
| 76536 |
|
13 |
13 |
$0.00 |
| 90686 |
|
17 |
17 |
$0.00 |