| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
3,634 |
2,653 |
$402K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,084 |
3,774 |
$397K |
| 99205 |
Prolong outpt/office vis |
311 |
259 |
$62K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,685 |
2,318 |
$40K |
| 99458 |
|
1,278 |
1,103 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,204 |
2,547 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
576 |
482 |
$27K |
| 99454 |
|
1,482 |
1,236 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
59 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
30 |
$5K |
| 93000 |
|
375 |
303 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
89 |
69 |
$3K |
| 99457 |
|
1,556 |
1,347 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
23 |
23 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
32 |
31 |
$2K |
| 96127 |
|
390 |
351 |
$2K |
| 0124A |
|
20 |
15 |
$614.25 |
| 0013A |
|
13 |
12 |
$492.14 |
| 99406 |
|
39 |
29 |
$420.42 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
30 |
27 |
$419.34 |
| 90686 |
|
27 |
17 |
$328.48 |
| 69210 |
|
15 |
14 |
$186.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
45 |
$159.68 |
| 99453 |
|
21 |
20 |
$101.29 |
| H0049 |
Alcohol and/or drug screening |
140 |
127 |
$97.50 |
| 96160 |
|
25 |
25 |
$66.48 |
| 99497 |
|
39 |
36 |
$59.27 |
| 90662 |
|
41 |
31 |
$37.57 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
38 |
35 |
$0.00 |