| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,539 |
3,275 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
525 |
430 |
$13K |
| 90756 |
|
283 |
273 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| 80305 |
|
296 |
290 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
180 |
172 |
$992.64 |
| 99497 |
|
52 |
52 |
$803.76 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,644 |
1,424 |
$633.42 |
| 99199 |
Unlisted special service, procedure or report |
207 |
207 |
$622.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,714 |
1,483 |
$596.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
128 |
120 |
$271.75 |
| 82947 |
|
212 |
197 |
$260.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,512 |
1,302 |
$200.45 |
| 99407 |
|
26 |
25 |
$160.46 |
| G0008 |
Administration of influenza virus vaccine |
218 |
211 |
$107.52 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
51 |
48 |
$38.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
13 |
$23.94 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
13 |
$5.68 |