| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,686 |
4,396 |
$152K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,121 |
1,094 |
$5K |
| 99441 |
|
146 |
118 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
228 |
199 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
42 |
$3K |
| 93880 |
|
41 |
41 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
92 |
92 |
$1K |
| 20605 |
|
209 |
209 |
$925.06 |
| 99335 |
|
23 |
23 |
$191.70 |
| 82962 |
|
2,236 |
1,951 |
$120.67 |
| 20610 |
|
67 |
67 |
$113.10 |
| G0008 |
Administration of influenza virus vaccine |
350 |
350 |
$88.58 |
| 90756 |
|
275 |
275 |
$88.02 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
76 |
75 |
$67.79 |
| 36415 |
Collection of venous blood by venipuncture |
434 |
419 |
$44.49 |
| 69210 |
|
15 |
15 |
$27.48 |
| 81003 |
|
1,027 |
1,022 |
$7.19 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$3.84 |
| 90688 |
|
80 |
80 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
17 |
17 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
16 |
16 |
$0.00 |