| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,074 |
8,817 |
$418K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,389 |
6,873 |
$208K |
| 90674 |
|
553 |
408 |
$7K |
| 90756 |
|
523 |
452 |
$6K |
| 80305 |
|
922 |
765 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
581 |
424 |
$4K |
| 99205 |
Prolong outpt/office vis |
29 |
24 |
$3K |
| 99215 |
Prolong outpt/office vis |
48 |
42 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
944 |
759 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
78 |
24 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
20 |
13 |
$384.89 |
| 99406 |
|
62 |
48 |
$357.09 |
| 99497 |
|
19 |
14 |
$266.08 |
| G0008 |
Administration of influenza virus vaccine |
477 |
427 |
$26.61 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$0.00 |