| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99335 |
|
11,177 |
9,297 |
$145K |
| 99348 |
|
2,444 |
1,884 |
$75K |
| 99336 |
|
1,831 |
1,670 |
$34K |
| 99349 |
|
501 |
459 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
350 |
295 |
$8K |
| 99443 |
|
374 |
329 |
$3K |
| 99442 |
|
451 |
411 |
$2K |
| 99327 |
|
57 |
57 |
$1K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
80 |
80 |
$1K |
| 99334 |
|
131 |
124 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
84 |
$1K |
| 90688 |
|
73 |
70 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
42 |
$970.09 |
| 90658 |
|
61 |
46 |
$732.88 |
| G0008 |
Administration of influenza virus vaccine |
217 |
215 |
$609.71 |
| 99345 |
Prolong home eval add 15m |
13 |
13 |
$338.09 |
| 99347 |
|
12 |
12 |
$261.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
80 |
70 |
$226.19 |
| 93000 |
|
35 |
35 |
$151.31 |
| 90694 |
|
72 |
72 |
$2.00 |
| 90662 |
|
69 |
69 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
43 |
43 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
55 |
55 |
$0.00 |