| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
8,117 |
5,366 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,935 |
1,233 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
1,103 |
228 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
178 |
104 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
629 |
466 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
206 |
138 |
$1K |
| 90756 |
|
437 |
287 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
112 |
43 |
$943.26 |
| 94060 |
|
232 |
153 |
$936.59 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
93 |
55 |
$685.03 |
| 36415 |
Collection of venous blood by venipuncture |
2,554 |
1,710 |
$681.24 |
| 90674 |
|
341 |
231 |
$649.30 |
| 90677 |
|
36 |
27 |
$639.02 |
| G0008 |
Administration of influenza virus vaccine |
769 |
522 |
$119.99 |
| 90658 |
|
70 |
48 |
$113.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
20 |
$28.74 |
| 90688 |
|
40 |
38 |
$22.45 |
| 94761 |
|
86 |
56 |
$19.97 |
| 80061 |
Lipid panel |
61 |
48 |
$15.72 |
| G0009 |
Administration of pneumococcal vaccine |
17 |
15 |
$13.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
166 |
107 |
$11.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
12 |
$2.74 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
74 |
49 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
35 |
13 |
$0.00 |
| 96160 |
|
23 |
13 |
$0.00 |
| 99497 |
|
52 |
30 |
$0.00 |