| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,523 |
1,363 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,401 |
926 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
998 |
460 |
$6K |
| 90686 |
|
407 |
295 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
336 |
240 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
146 |
93 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
145 |
106 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
174 |
132 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,062 |
585 |
$937.92 |
| 81002 |
|
431 |
320 |
$706.62 |
| 99173 |
|
126 |
102 |
$592.02 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
21 |
15 |
$70.99 |
| 99406 |
|
30 |
12 |
$61.52 |
| 1160F |
|
44 |
35 |
$60.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
12 |
$17.17 |
| G0008 |
Administration of influenza virus vaccine |
57 |
31 |
$13.12 |
| 1090F |
|
24 |
17 |
$0.00 |
| 90461 |
|
44 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17 |
14 |
$0.00 |
| 3008F |
|
24 |
17 |
$0.00 |
| 1101F |
|
24 |
17 |
$0.00 |
| 1170F |
|
24 |
17 |
$0.00 |