| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,399 |
2,155 |
$39K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
491 |
487 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
464 |
428 |
$7K |
| 82947 |
|
1,205 |
1,055 |
$1K |
| 95943 |
|
171 |
157 |
$803.63 |
| 93923 |
|
105 |
94 |
$658.82 |
| 90756 |
|
83 |
81 |
$448.11 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
61 |
57 |
$310.96 |
| 99443 |
|
28 |
28 |
$265.86 |
| 90686 |
|
57 |
52 |
$251.76 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
33 |
32 |
$249.67 |
| 81002 |
|
168 |
135 |
$195.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
14 |
$111.80 |
| 90689 |
|
30 |
22 |
$40.00 |
| G0008 |
Administration of influenza virus vaccine |
156 |
135 |
$32.50 |
| 1159F |
|
1,530 |
1,382 |
$3.95 |
| 1160F |
|
1,529 |
1,379 |
$0.02 |
| 1170F |
|
1,522 |
1,368 |
$0.02 |
| 3078F |
|
932 |
757 |
$0.01 |
| 3077F |
|
951 |
578 |
$0.00 |
| 1124F |
|
773 |
696 |
$0.00 |
| 3008F |
|
1,507 |
1,356 |
$0.00 |
| 1157F |
|
415 |
383 |
$0.00 |
| 3079F |
|
477 |
381 |
$0.00 |
| 1126F |
|
1,231 |
1,125 |
$0.00 |
| 3080F |
|
306 |
175 |
$0.00 |
| 1125F |
|
97 |
82 |
$0.00 |
| 3074F |
|
640 |
564 |
$0.00 |
| 3061F |
|
16 |
13 |
$0.00 |
| 3075F |
|
137 |
124 |
$0.00 |
| 3044F |
|
113 |
99 |
$0.00 |