| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,971 |
1,505 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,372 |
1,051 |
$18K |
| 99490 |
Ccm add 20min |
1,249 |
1,248 |
$6K |
| 99215 |
Prolong outpt/office vis |
40 |
38 |
$1K |
| 93923 |
|
52 |
52 |
$362.50 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
76 |
76 |
$314.08 |
| 93000 |
|
41 |
41 |
$44.52 |
| 95923 |
|
12 |
12 |
$9.24 |
| 93040 |
|
12 |
12 |
$2.47 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$0.12 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
51 |
51 |
$0.00 |
| 90662 |
|
94 |
94 |
$0.00 |
| 82570 |
|
40 |
39 |
$0.00 |
| 81002 |
|
78 |
78 |
$0.00 |
| 82274 |
|
26 |
26 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
13 |
$0.00 |
| 95905 |
|
24 |
24 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
51 |
51 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
367 |
359 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
51 |
51 |
$0.00 |
| 82044 |
|
40 |
39 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
130 |
128 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
51 |
51 |
$0.00 |
| 82270 |
|
38 |
38 |
$0.00 |
| 0031A |
|
16 |
16 |
$0.00 |
| 95924 |
|
12 |
12 |
$0.00 |