| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,262 |
850 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
424 |
357 |
$5K |
| 99423 |
|
68 |
20 |
$1K |
| 93000 |
|
223 |
205 |
$588.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
24 |
$187.76 |
| 90674 |
|
144 |
129 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
152 |
145 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
653 |
584 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
170 |
148 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
17 |
12 |
$0.00 |
| 99397 |
|
18 |
18 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
33 |
30 |
$0.00 |
| 93880 |
|
63 |
56 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
13 |
$0.00 |