| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,375 |
5,393 |
$178K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
948 |
847 |
$73K |
| 99233 |
Prolong inpt eval add15 m |
2,386 |
718 |
$40K |
| 94060 |
|
688 |
580 |
$36K |
| 99337 |
|
1,985 |
1,138 |
$11K |
| 99350 |
Prolong home eval add 15m |
1,109 |
679 |
$6K |
| 94729 |
|
691 |
583 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,455 |
1,720 |
$4K |
| 94727 |
|
693 |
585 |
$3K |
| 99205 |
Prolong outpt/office vis |
45 |
36 |
$3K |
| 99336 |
|
765 |
482 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,006 |
1,480 |
$2K |
| 94664 |
|
1,410 |
1,086 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
136 |
87 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
159 |
88 |
$693.83 |
| 99490 |
Ccm add 20min |
1,081 |
649 |
$675.48 |
| 99457 |
|
96 |
72 |
$386.68 |
| 99423 |
|
15 |
13 |
$104.19 |
| 99305 |
|
24 |
12 |
$0.00 |
| 94761 |
|
198 |
167 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
51 |
37 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
145 |
82 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
23 |
14 |
$0.00 |
| 90686 |
|
137 |
82 |
$0.00 |