| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,908 |
6,163 |
$326K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,528 |
1,385 |
$57K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
452 |
419 |
$37K |
| 99441 |
|
632 |
584 |
$19K |
| 93922 |
|
515 |
490 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
540 |
510 |
$11K |
| 90686 |
|
625 |
469 |
$5K |
| 99497 |
|
386 |
351 |
$5K |
| 99397 |
|
242 |
233 |
$4K |
| 90674 |
|
166 |
151 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
186 |
162 |
$2K |
| 90688 |
|
234 |
200 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
24 |
$2K |
| 90656 |
|
74 |
71 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
434 |
389 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$943.57 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
216 |
191 |
$330.63 |
| 99457 |
|
27 |
27 |
$312.14 |
| 99442 |
|
16 |
16 |
$280.08 |
| 96160 |
|
91 |
74 |
$213.69 |
| 96161 |
|
30 |
29 |
$84.74 |
| 99401 |
|
48 |
42 |
$65.01 |
| 81002 |
|
33 |
27 |
$63.80 |
| G0008 |
Administration of influenza virus vaccine |
370 |
321 |
$63.39 |
| 82962 |
|
93 |
78 |
$57.01 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$16.20 |
| 99499 |
|
5,695 |
3,908 |
$13.66 |
| 3074F |
|
185 |
135 |
$0.00 |
| 3078F |
|
229 |
165 |
$0.00 |
| 3077F |
|
29 |
26 |
$0.00 |