| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99335 |
|
8,232 |
6,744 |
$98K |
| 99348 |
|
2,168 |
1,782 |
$45K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,536 |
4,043 |
$42K |
| 99336 |
|
565 |
516 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
882 |
825 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
165 |
154 |
$2K |
| 90688 |
|
106 |
106 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72 |
70 |
$1K |
| 90658 |
|
71 |
63 |
$970.08 |
| 90653 |
|
99 |
99 |
$666.26 |
| 90694 |
|
253 |
253 |
$626.12 |
| 99334 |
|
112 |
106 |
$521.29 |
| 93000 |
|
447 |
444 |
$470.14 |
| 99327 |
|
18 |
18 |
$426.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$348.70 |
| 99349 |
|
170 |
156 |
$275.78 |
| 99326 |
|
36 |
36 |
$271.49 |
| 99347 |
|
19 |
19 |
$216.30 |
| G0008 |
Administration of influenza virus vaccine |
467 |
467 |
$201.09 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
62 |
62 |
$140.60 |
| 90662 |
|
74 |
74 |
$50.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
12 |
$21.36 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
15 |
15 |
$1.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
30 |
30 |
$0.00 |
| 99307 |
|
17 |
16 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
39 |
38 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
126 |
122 |
$0.00 |
| 99495 |
|
16 |
15 |
$0.00 |
| 99443 |
|
66 |
65 |
$0.00 |