| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,585 |
9,680 |
$343K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
640 |
563 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,259 |
1,036 |
$12K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
102 |
93 |
$7K |
| 93000 |
|
308 |
267 |
$2K |
| 80305 |
|
529 |
370 |
$2K |
| 90674 |
|
91 |
81 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
15 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,183 |
1,020 |
$1K |
| 81003 |
|
873 |
723 |
$607.45 |
| 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) |
208 |
137 |
$586.52 |
| 90756 |
|
48 |
44 |
$568.98 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
24 |
$377.51 |
| 3008F |
|
38 |
30 |
$290.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
28 |
$268.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
33 |
$221.00 |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
121 |
110 |
$192.60 |
| 90688 |
|
20 |
19 |
$189.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
201 |
179 |
$10.87 |
| G0008 |
Administration of influenza virus vaccine |
72 |
69 |
$3.13 |
| 90662 |
|
19 |
13 |
$0.00 |