| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,526 |
6,958 |
$116K |
| 99490 |
Ccm add 20min |
4,042 |
4,039 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
563 |
563 |
$16K |
| 99491 |
Ccm add 20min |
2,294 |
2,292 |
$15K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
164 |
164 |
$3K |
| 99442 |
|
34 |
34 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
148 |
148 |
$673.29 |
| 99497 |
|
158 |
158 |
$494.23 |
| 36410 |
|
226 |
220 |
$239.37 |
| G0008 |
Administration of influenza virus vaccine |
252 |
252 |
$85.42 |
| 90688 |
|
64 |
64 |
$69.95 |
| 90653 |
|
40 |
40 |
$63.99 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
53 |
53 |
$52.88 |
| 90756 |
|
33 |
33 |
$52.85 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
130 |
130 |
$41.60 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
76 |
76 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
156 |
156 |
$0.00 |