| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99336 |
|
1,321 |
1,116 |
$13K |
| 99349 |
|
420 |
332 |
$10K |
| 99397 |
|
48 |
46 |
$1K |
| 93925 |
|
28 |
28 |
$534.59 |
| 93975 |
|
26 |
26 |
$456.04 |
| 93978 |
|
28 |
28 |
$283.67 |
| 93880 |
|
27 |
27 |
$264.58 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
38 |
$102.46 |
| 76775 |
|
14 |
14 |
$101.05 |
| 82962 |
|
1,553 |
1,345 |
$62.25 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
27 |
$60.99 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 3044F |
|
153 |
135 |
$0.00 |
| 1125F |
|
69 |
50 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
24 |
24 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
52 |
50 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
18 |
14 |
$0.00 |