| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,344 |
3,077 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75 |
71 |
$2K |
| 90686 |
|
153 |
148 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$851.20 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$510.60 |
| 99233 |
Prolong inpt eval add15 m |
38 |
12 |
$390.66 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$290.40 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$165.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$158.77 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
15 |
14 |
$135.56 |
| 3074F |
|
37 |
36 |
$90.00 |
| 3079F |
|
13 |
13 |
$30.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
16 |
13 |
$19.54 |
| 3078F |
|
15 |
13 |
$10.00 |