| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,290 |
7,113 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,101 |
1,085 |
$15K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
160 |
160 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
122 |
122 |
$1K |
| 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 |
111 |
101 |
$550.72 |
| 90686 |
|
54 |
54 |
$542.81 |
| 90688 |
|
44 |
44 |
$328.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
34 |
$216.04 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
80 |
80 |
$164.70 |
| 90656 |
|
32 |
32 |
$71.97 |
| G0008 |
Administration of influenza virus vaccine |
210 |
210 |
$69.19 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
121 |
121 |
$20.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
18 |
18 |
$9.85 |
| 1170F |
|
12 |
12 |
$0.00 |
| 1126F |
|
15 |
15 |
$0.00 |
| 1090F |
|
82 |
82 |
$0.00 |