| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,366 |
4,150 |
$270K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,088 |
3,638 |
$156K |
| 99441 |
|
1,543 |
1,424 |
$37K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,303 |
1,263 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
198 |
198 |
$16K |
| 93000 |
|
1,422 |
1,363 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
558 |
548 |
$8K |
| 90756 |
|
323 |
322 |
$8K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
424 |
414 |
$7K |
| 93922 |
|
117 |
90 |
$4K |
| 90682 |
|
74 |
74 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
116 |
113 |
$3K |
| 99497 |
|
154 |
147 |
$3K |
| 90694 |
|
133 |
133 |
$3K |
| 96127 |
|
735 |
728 |
$3K |
| 99401 |
|
146 |
143 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,429 |
3,307 |
$2K |
| 90653 |
|
42 |
41 |
$934.30 |
| 90661 |
|
19 |
19 |
$700.15 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
48 |
44 |
$320.28 |
| 93040 |
|
409 |
388 |
$175.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
60 |
56 |
$172.53 |
| 3044F |
|
73 |
73 |
$140.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
71 |
69 |
$95.89 |
| G0246 |
Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education |
162 |
154 |
$61.99 |
| G0008 |
Administration of influenza virus vaccine |
105 |
103 |
$30.25 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
172 |
167 |
$14.99 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
28 |
26 |
$4.01 |
| 1126F |
|
46 |
46 |
$0.00 |
| 3008F |
|
254 |
252 |
$0.00 |
| 3048F |
|
120 |
120 |
$0.00 |
| 3079F |
|
48 |
48 |
$0.00 |
| 1170F |
|
121 |
120 |
$0.00 |
| 99429 |
|
14 |
14 |
$0.00 |
| 3074F |
|
69 |
67 |
$0.00 |
| 3011F |
|
29 |
29 |
$0.00 |
| 3017F |
|
35 |
35 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| 1159F |
|
209 |
206 |
$0.00 |
| 3078F |
|
70 |
68 |
$0.00 |
| 1160F |
|
247 |
244 |
$0.00 |
| 3288F |
|
148 |
145 |
$0.00 |
| G8864 |
Pneumococcal vaccine administered or previously received |
24 |
24 |
$0.00 |