| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,830 |
6,261 |
$187K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,110 |
3,602 |
$87K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,004 |
962 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
94 |
$8K |
| 90688 |
|
691 |
681 |
$8K |
| G0008 |
Administration of influenza virus vaccine |
1,343 |
1,324 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
136 |
133 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
411 |
393 |
$4K |
| 0012A |
|
115 |
115 |
$3K |
| 0011A |
|
110 |
110 |
$3K |
| 99490 |
Ccm add 20min |
242 |
242 |
$3K |
| 0013A |
|
94 |
93 |
$2K |
| 99215 |
Prolong outpt/office vis |
45 |
40 |
$1K |
| 0064A |
|
100 |
100 |
$1K |
| 99483 |
Prolong outpt/office vis |
27 |
27 |
$1K |
| 0134A |
|
40 |
40 |
$546.00 |
| 99499 |
|
15 |
12 |
$171.00 |
| 90662 |
|
265 |
262 |
$75.26 |
| 99497 |
|
41 |
40 |
$34.72 |
| 3078F |
|
590 |
464 |
$20.00 |
| 3074F |
|
239 |
196 |
$10.00 |
| 91301 |
|
52 |
52 |
$0.01 |
| 1159F |
|
95 |
77 |
$0.00 |
| 1160F |
|
95 |
77 |
$0.00 |
| 91322 |
|
63 |
62 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
141 |
130 |
$0.00 |
| 1170F |
|
25 |
25 |
$0.00 |
| 90480 |
|
47 |
46 |
$0.00 |
| 1126F |
|
40 |
39 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
77 |
77 |
$0.00 |
| 1125F |
|
35 |
26 |
$0.00 |
| 3075F |
|
16 |
12 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |