| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,069 |
11,078 |
$143K |
| 99215 |
Prolong outpt/office vis |
2,437 |
2,414 |
$50K |
| 96156 |
|
1,214 |
1,206 |
$20K |
| 99491 |
Ccm add 20min |
800 |
798 |
$15K |
| 90674 |
|
442 |
442 |
$13K |
| 99490 |
Ccm add 20min |
1,290 |
1,290 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,245 |
2,194 |
$10K |
| 90688 |
|
431 |
431 |
$9K |
| 90686 |
|
404 |
404 |
$7K |
| 96151 |
|
1,026 |
1,002 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,010 |
921 |
$6K |
| 99000 |
|
4,229 |
4,071 |
$5K |
| 99310 |
Prolong nursin fac eval 15m |
949 |
873 |
$3K |
| 99443 |
|
66 |
64 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
47 |
46 |
$2K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
234 |
231 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,734 |
1,619 |
$2K |
| 90694 |
|
97 |
97 |
$615.21 |
| 90662 |
|
151 |
151 |
$578.85 |
| 96160 |
|
136 |
134 |
$560.74 |
| 99473 |
|
68 |
66 |
$498.66 |
| G0008 |
Administration of influenza virus vaccine |
258 |
258 |
$233.22 |
| 92551 |
|
12 |
12 |
$157.92 |
| 85018 |
|
12 |
12 |
$53.61 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$41.52 |
| 81003 |
|
15 |
15 |
$25.12 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
235 |
171 |
$19.14 |
| 80061 |
Lipid panel |
39 |
38 |
$15.94 |
| 90750 |
|
25 |
25 |
$13.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$12.37 |
| 99173 |
|
12 |
12 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
346 |
41 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 93227 |
|
311 |
39 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 96150 |
|
12 |
12 |
$0.00 |
| 36410 |
|
15 |
15 |
$0.00 |
| 3074F |
|
17 |
17 |
$0.00 |
| 1126F |
|
18 |
18 |
$0.00 |
| 1170F |
|
18 |
18 |
$0.00 |