| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,529 |
2,101 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,178 |
2,569 |
$18K |
| 99215 |
Prolong outpt/office vis |
223 |
219 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
321 |
321 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
721 |
519 |
$987.73 |
| 82962 |
|
489 |
434 |
$657.70 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
56 |
$315.00 |
| 90658 |
|
41 |
39 |
$277.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
87 |
83 |
$86.86 |
| 3008F |
|
50 |
50 |
$0.00 |
| 90688 |
|
26 |
26 |
$0.00 |
| 82270 |
|
12 |
12 |
$0.00 |
| 1159F |
|
77 |
77 |
$0.00 |
| 4551F |
|
25 |
25 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
81 |
74 |
$0.00 |