| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,288 |
2,122 |
$31K |
| 99490 |
Ccm add 20min |
286 |
286 |
$2K |
| 90688 |
|
43 |
43 |
$140.51 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$111.68 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$20.29 |
| G0008 |
Administration of influenza virus vaccine |
135 |
135 |
$10.00 |
| 36415 |
Collection of venous blood by venipuncture |
253 |
250 |
$2.95 |
| 90662 |
|
25 |
25 |
$0.00 |
| 90756 |
|
16 |
16 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
12 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
36 |
36 |
$0.00 |