| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,898 |
2,813 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,917 |
1,464 |
$42K |
| 93000 |
|
1,864 |
1,343 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
572 |
344 |
$5K |
| 81003 |
|
2,492 |
1,897 |
$3K |
| 82947 |
|
1,497 |
1,079 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,285 |
1,711 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
37 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
13 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
12 |
$696.82 |
| 36410 |
|
99 |
51 |
$641.33 |
| 90658 |
|
17 |
12 |
$140.03 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
111 |
75 |
$83.52 |
| 99441 |
|
22 |
12 |
$74.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
13 |
$53.09 |
| 3079F |
|
454 |
367 |
$40.00 |
| 3074F |
|
340 |
273 |
$30.00 |
| 81000 |
|
22 |
20 |
$23.45 |
| 3075F |
|
102 |
88 |
$10.00 |
| 2010F |
|
744 |
581 |
$0.00 |
| 1170F |
|
992 |
790 |
$0.00 |
| 3044F |
|
141 |
125 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
19 |
12 |
$0.00 |
| 1003F |
|
937 |
748 |
$0.00 |
| G9797 |
Patient is not on a high intensity statin therapy |
27 |
25 |
$0.00 |
| 1160F |
|
1,645 |
1,306 |
$0.00 |
| 3725F |
|
271 |
232 |
$0.00 |
| 1159F |
|
1,224 |
957 |
$0.00 |
| 3078F |
|
278 |
222 |
$0.00 |
| 3077F |
|
128 |
112 |
$0.00 |