| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,816 |
1,448 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,036 |
1,822 |
$135K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,474 |
2,266 |
$116K |
| 99442 |
|
858 |
791 |
$33K |
| 99349 |
|
301 |
272 |
$11K |
| 99443 |
|
103 |
94 |
$5K |
| 99348 |
|
141 |
135 |
$3K |
| 99347 |
|
187 |
174 |
$3K |
| 99205 |
Prolong outpt/office vis |
16 |
16 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
349 |
238 |
$2K |
| 96127 |
|
857 |
837 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 90688 |
|
105 |
102 |
$779.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
44 |
$339.94 |
| 90756 |
|
20 |
20 |
$262.20 |
| 90686 |
|
17 |
17 |
$206.67 |
| 99345 |
Prolong home eval add 15m |
13 |
12 |
$180.37 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
64 |
$112.78 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$101.94 |
| 3074F |
|
13 |
12 |
$0.01 |
| 99000 |
|
206 |
150 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |