| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,893 |
7,309 |
$165K |
| 99441 |
|
1,890 |
1,542 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
332 |
321 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,143 |
1,126 |
$14K |
| 99454 |
|
71 |
61 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
133 |
133 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
105 |
97 |
$955.35 |
| 99457 |
|
103 |
93 |
$492.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
69 |
$306.39 |
| 90662 |
|
442 |
442 |
$301.75 |
| 93000 |
|
41 |
40 |
$252.06 |
| 99458 |
|
25 |
25 |
$245.23 |
| 99439 |
|
25 |
25 |
$227.74 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
105 |
97 |
$211.21 |
| G0008 |
Administration of influenza virus vaccine |
534 |
533 |
$180.00 |
| 99490 |
Ccm add 20min |
25 |
25 |
$163.79 |
| 71046 |
Radiologic examination, chest; 2 views |
88 |
87 |
$128.07 |
| 90732 |
|
53 |
53 |
$99.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$74.88 |
| 36415 |
Collection of venous blood by venipuncture |
1,206 |
1,173 |
$68.30 |
| 90682 |
|
75 |
75 |
$56.25 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
72 |
69 |
$54.26 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
51 |
51 |
$0.00 |