| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
2,042 |
1,754 |
$116K |
| 99348 |
|
3,724 |
2,813 |
$110K |
| 99335 |
|
4,250 |
3,232 |
$87K |
| 99336 |
|
3,042 |
2,475 |
$81K |
| 99347 |
|
1,340 |
1,099 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
655 |
509 |
$20K |
| 99496 |
|
424 |
381 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
235 |
204 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
262 |
243 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
348 |
161 |
$3K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
34 |
34 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
156 |
138 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
97 |
93 |
$866.62 |
| 99442 |
|
12 |
12 |
$817.56 |
| 99495 |
|
390 |
339 |
$679.86 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$532.72 |
| 90688 |
|
17 |
17 |
$333.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$177.36 |
| G0009 |
Administration of pneumococcal vaccine |
17 |
17 |
$160.45 |
| 90653 |
|
14 |
14 |
$8.35 |
| 99490 |
Ccm add 20min |
109 |
98 |
$6.54 |
| 90694 |
|
13 |
13 |
$5.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
28 |
25 |
$0.00 |