| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,328 |
5,720 |
$225K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,342 |
1,922 |
$60K |
| 99215 |
Prolong outpt/office vis |
675 |
560 |
$29K |
| 99406 |
|
2,621 |
2,173 |
$18K |
| 99407 |
|
925 |
857 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
583 |
484 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
15 |
$712.24 |
| 92551 |
|
157 |
131 |
$489.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
31 |
$454.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
15 |
$333.08 |
| 90686 |
|
46 |
37 |
$307.95 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
69 |
55 |
$296.97 |
| 36415 |
Collection of venous blood by venipuncture |
159 |
135 |
$247.29 |
| 90688 |
|
38 |
34 |
$216.10 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
176 |
146 |
$149.08 |
| 81002 |
|
64 |
55 |
$95.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
48 |
41 |
$54.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$35.02 |
| G0008 |
Administration of influenza virus vaccine |
46 |
35 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
83 |
70 |
$0.00 |