| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,278 |
11,987 |
$419K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,783 |
4,727 |
$122K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
4,409 |
1,914 |
$114K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
534 |
522 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,737 |
1,967 |
$28K |
| 99401 |
|
971 |
963 |
$21K |
| 90694 |
|
1,323 |
737 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
920 |
902 |
$17K |
| 90688 |
|
512 |
460 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
11,364 |
7,891 |
$5K |
| 90686 |
|
266 |
256 |
$5K |
| 93000 |
|
1,209 |
993 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
1,804 |
1,161 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,486 |
920 |
$3K |
| 90653 |
|
561 |
365 |
$3K |
| 90658 |
|
116 |
116 |
$2K |
| 99442 |
|
227 |
136 |
$2K |
| 90674 |
|
138 |
89 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,765 |
1,088 |
$1K |
| 99490 |
Ccm add 20min |
219 |
219 |
$839.04 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
24 |
$643.08 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
40 |
18 |
$500.00 |
| 96127 |
|
107 |
107 |
$349.28 |
| 99499 |
|
482 |
261 |
$182.00 |
| 3078F |
|
8,447 |
4,509 |
$112.45 |
| 3074F |
|
6,336 |
3,483 |
$100.31 |
| 99397 |
|
14 |
14 |
$97.49 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
215 |
118 |
$81.70 |
| 1159F |
|
9,585 |
5,358 |
$80.46 |
| 1160F |
|
9,518 |
5,337 |
$78.46 |
| 3008F |
|
2,955 |
1,695 |
$48.00 |
| 1170F |
|
3,392 |
1,916 |
$43.00 |
| 3075F |
|
2,964 |
1,654 |
$26.86 |
| 1126F |
|
1,936 |
1,078 |
$19.00 |
| 1125F |
|
1,237 |
695 |
$17.00 |
| 3079F |
|
774 |
469 |
$13.86 |
| 1123F |
|
2,358 |
1,191 |
$4.00 |
| 3077F |
|
25 |
25 |
$3.00 |
| 1101F |
|
3,307 |
1,449 |
$2.00 |
| 3044F |
|
24 |
12 |
$1.00 |
| 3725F |
|
1,854 |
931 |
$0.00 |
| 1124F |
|
167 |
83 |
$0.00 |
| 96401 |
|
15 |
15 |
$0.00 |
| 1100F |
|
60 |
26 |
$0.00 |
| 1158F |
|
256 |
130 |
$0.00 |
| 1090F |
|
30 |
15 |
$0.00 |
| 1036F |
|
35 |
18 |
$0.00 |
| 1030F |
|
59 |
30 |
$0.00 |
| 1022F |
|
38 |
19 |
$0.00 |