| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
948 |
917 |
$87K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
51 |
51 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
54 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,077 |
1,074 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
117 |
117 |
$2K |
| 90674 |
|
66 |
66 |
$1K |
| 94060 |
|
54 |
54 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$868.18 |
| 93000 |
|
82 |
82 |
$667.44 |
| 94070 |
|
12 |
12 |
$508.83 |
| 90756 |
|
20 |
20 |
$501.82 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
26 |
26 |
$156.58 |
| 81002 |
|
12 |
12 |
$14.08 |