| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
32,813 |
18,580 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,514 |
3,131 |
$181K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
942 |
799 |
$37K |
| 36415 |
Collection of venous blood by venipuncture |
3,082 |
2,721 |
$4K |
| 90661 |
|
29 |
26 |
$360.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$180.31 |
| 90686 |
|
14 |
14 |
$112.86 |
| 90674 |
|
14 |
14 |
$65.31 |
| 90756 |
|
37 |
14 |
$59.85 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
19 |
15 |
$50.63 |
| 3078F |
|
125 |
110 |
$0.00 |
| 99072 |
|
468 |
426 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
24 |
24 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |
| 3008F |
|
1,304 |
1,129 |
$0.00 |
| 3048F |
|
221 |
195 |
$0.00 |
| 3074F |
|
263 |
229 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |
| 3049F |
|
16 |
12 |
$0.00 |
| 99000 |
|
14 |
13 |
$0.00 |