| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,072 |
6,845 |
$311K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
618 |
433 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
377 |
323 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
838 |
589 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,144 |
794 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
77 |
55 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
130 |
104 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
220 |
194 |
$3K |
| 99497 |
|
96 |
72 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
13 |
$1K |
| 3079F |
|
1,508 |
1,192 |
$1K |
| 3078F |
|
1,625 |
1,246 |
$1K |
| 3074F |
|
1,949 |
1,488 |
$1K |
| 3077F |
|
1,388 |
1,112 |
$1K |
| 3080F |
|
1,133 |
889 |
$959.38 |
| 36415 |
Collection of venous blood by venipuncture |
629 |
534 |
$585.58 |
| 3075F |
|
877 |
690 |
$570.00 |
| 96160 |
|
80 |
44 |
$380.18 |
| 90686 |
|
28 |
27 |
$307.24 |
| 99397 |
|
94 |
68 |
$184.85 |
| 99406 |
|
83 |
44 |
$168.76 |
| 90674 |
|
21 |
12 |
$157.66 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
300 |
231 |
$103.51 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
556 |
416 |
$50.19 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$9.39 |
| 1160F |
|
171 |
83 |
$0.00 |
| 99499 |
|
13 |
13 |
$0.00 |
| 1170F |
|
138 |
64 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
60 |
39 |
$0.00 |