| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,114 |
3,485 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,417 |
1,949 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
907 |
828 |
$3K |
| 99457 |
|
294 |
293 |
$2K |
| 99458 |
|
195 |
194 |
$2K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$1K |
| 99454 |
|
125 |
125 |
$1K |
| 99497 |
|
119 |
118 |
$799.91 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
656 |
611 |
$210.15 |
| 90661 |
|
36 |
36 |
$36.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$33.20 |
| 90686 |
|
44 |
43 |
$19.03 |
| 90682 |
|
80 |
80 |
$0.74 |
| 80305 |
|
2,473 |
1,497 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
14 |
$0.00 |
| 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) |
482 |
447 |
$0.00 |
| 90653 |
|
41 |
41 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
288 |
287 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
42 |
42 |
$0.00 |
| 90694 |
|
32 |
32 |
$0.00 |
| 90674 |
|
56 |
56 |
$0.00 |