| Code | Description | Claims | Beneficiaries | Total Paid |
| 99442 |
|
1,796 |
1,489 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
792 |
703 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
366 |
351 |
$31K |
| 99397 |
|
422 |
417 |
$25K |
| 99443 |
|
150 |
135 |
$16K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
158 |
158 |
$7K |
| 93000 |
|
488 |
480 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
69 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
175 |
174 |
$2K |
| 90662 |
|
83 |
83 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99483 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
567 |
558 |
$938.03 |
| 99490 |
Ccm add 20min |
18 |
18 |
$828.82 |
| 99441 |
|
13 |
12 |
$441.13 |
| 90688 |
|
58 |
58 |
$372.76 |
| 1160F |
|
15 |
15 |
$0.00 |
| 3044F |
|
47 |
45 |
$0.00 |
| 3048F |
|
28 |
25 |
$0.00 |