| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,950 |
9,384 |
$143K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,474 |
1,473 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,276 |
1,205 |
$14K |
| 99442 |
|
592 |
555 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
156 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
866 |
860 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
579 |
577 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,162 |
1,108 |
$920.49 |
| 90662 |
|
262 |
260 |
$693.38 |
| 81002 |
|
620 |
608 |
$404.89 |
| 93000 |
|
155 |
151 |
$402.28 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,911 |
1,883 |
$396.19 |
| 80305 |
|
326 |
313 |
$393.26 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
288 |
274 |
$345.29 |
| 99201 |
|
19 |
19 |
$310.51 |
| 90686 |
|
367 |
362 |
$215.84 |
| 90677 |
|
13 |
13 |
$96.46 |
| 90732 |
|
16 |
16 |
$95.92 |
| G0009 |
Administration of pneumococcal vaccine |
76 |
76 |
$94.74 |
| 82962 |
|
71 |
69 |
$44.84 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
111 |
106 |
$25.81 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$25.27 |
| 1111F |
|
567 |
542 |
$25.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
32 |
32 |
$0.01 |
| 90694 |
|
84 |
84 |
$0.00 |
| 3074F |
|
104 |
100 |
$0.00 |
| 3079F |
|
27 |
26 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 3078F |
|
119 |
115 |
$0.00 |
| 99499 |
|
75 |
71 |
$0.00 |
| 1158F |
|
17 |
17 |
$0.00 |