| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,445 |
17,194 |
$264K |
| 99490 |
Ccm add 20min |
8,832 |
8,753 |
$125K |
| G0008 |
Administration of influenza virus vaccine |
353 |
350 |
$9K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
124 |
124 |
$4K |
| 90658 |
|
468 |
468 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
510 |
506 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
348 |
310 |
$771.41 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$720.00 |
| 20610 |
|
54 |
50 |
$613.81 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
225 |
216 |
$410.00 |
| 90686 |
|
105 |
105 |
$243.43 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
59 |
$220.23 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
39 |
39 |
$180.00 |
| 90662 |
|
153 |
153 |
$154.98 |
| 82948 |
|
48 |
42 |
$13.40 |
| 3008F |
|
1,792 |
1,776 |
$11.40 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
24 |
23 |
$3.49 |
| 3078F |
|
302 |
302 |
$2.70 |
| 3074F |
|
254 |
254 |
$2.70 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
104 |
104 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
71 |
71 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$0.00 |
| 3014F |
|
184 |
181 |
$0.00 |
| 3017F |
|
106 |
106 |
$0.00 |