| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,151 |
2,906 |
$244K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,562 |
2,118 |
$123K |
| 99222 |
Initial hospital care, per day, moderate complexity |
91 |
89 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
54 |
$8K |
| 90756 |
|
254 |
215 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
364 |
208 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
85 |
75 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
32 |
27 |
$1.26 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
57 |
57 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
56 |
56 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
54 |
54 |
$0.00 |
| 99497 |
|
56 |
56 |
$0.00 |