| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,191 |
1,663 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
541 |
485 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
571 |
408 |
$804.80 |
| 99442 |
|
16 |
15 |
$335.05 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
25 |
12 |
$280.00 |
| 99441 |
|
28 |
25 |
$199.41 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
15 |
$19.57 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
15 |
$7.08 |
| 99406 |
|
177 |
152 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
35 |
29 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
285 |
234 |
$0.00 |
| 3017F |
|
124 |
97 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
17 |
17 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
35 |
25 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 3008F |
|
16 |
12 |
$0.00 |
| 3078F |
|
17 |
12 |
$0.00 |
| 80305 |
|
19 |
19 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
12 |
$0.00 |
| 3077F |
|
16 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
29 |
25 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
15 |
14 |
$0.00 |