| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,154 |
5,589 |
$303K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
394 |
309 |
$13K |
| 93000 |
|
398 |
380 |
$4K |
| 90674 |
|
276 |
211 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
602 |
457 |
$429.94 |
| 99490 |
Ccm add 20min |
186 |
108 |
$369.51 |
| 0012A |
|
13 |
13 |
$363.90 |
| 0011A |
|
16 |
15 |
$213.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$102.10 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
111 |
68 |
$101.31 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
111 |
69 |
$56.09 |
| G0008 |
Administration of influenza virus vaccine |
113 |
71 |
$40.09 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
38 |
32 |
$0.00 |
| 91301 |
|
25 |
21 |
$0.00 |
| 3288F |
|
129 |
82 |
$0.00 |