| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99454 |
|
9,087 |
8,998 |
$68K |
| 99457 |
|
9,059 |
8,971 |
$62K |
| 99490 |
Ccm add 20min |
12,099 |
11,944 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,803 |
9,726 |
$20K |
| 90756 |
|
330 |
330 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,817 |
2,659 |
$5K |
| 93922 |
|
567 |
563 |
$3K |
| 90686 |
|
86 |
86 |
$1K |
| 99453 |
|
202 |
201 |
$923.95 |
| 93000 |
|
74 |
74 |
$248.86 |
| 90688 |
|
100 |
98 |
$220.63 |
| 99443 |
|
18 |
16 |
$185.70 |
| 36415 |
Collection of venous blood by venipuncture |
121 |
120 |
$184.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
255 |
255 |
$103.34 |
| G0008 |
Administration of influenza virus vaccine |
233 |
230 |
$46.78 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
61 |
61 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
29 |
$0.00 |