| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,783 |
1,768 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,692 |
1,459 |
$19K |
| 99441 |
|
877 |
865 |
$17K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
31 |
31 |
$574.38 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
50 |
50 |
$261.16 |
| 71046 |
Radiologic examination, chest; 2 views |
113 |
113 |
$176.16 |
| 82962 |
|
650 |
556 |
$165.46 |
| 90688 |
|
253 |
253 |
$133.87 |
| 90674 |
|
89 |
89 |
$112.72 |
| 99497 |
|
53 |
53 |
$92.98 |
| G0008 |
Administration of influenza virus vaccine |
351 |
351 |
$92.93 |
| 93000 |
|
12 |
12 |
$41.58 |
| 93880 |
|
41 |
41 |
$19.71 |
| 36415 |
Collection of venous blood by venipuncture |
236 |
236 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
22 |
22 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |