| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,067 |
3,329 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,181 |
1,771 |
$57K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,294 |
916 |
$13K |
| 90674 |
|
200 |
184 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
368 |
261 |
$519.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
13 |
$302.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$301.65 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
12 |
$162.96 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
35 |
29 |
$106.67 |
| G0008 |
Administration of influenza virus vaccine |
76 |
71 |
$15.42 |
| 99499 |
|
16 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
14 |
$0.00 |