| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,772 |
6,037 |
$242K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,784 |
3,201 |
$84K |
| 90756 |
|
1,055 |
976 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
3,586 |
3,276 |
$4K |
| 95923 |
|
99 |
92 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
57 |
54 |
$4K |
| 81002 |
|
2,549 |
2,302 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
466 |
432 |
$3K |
| 82947 |
|
1,494 |
1,315 |
$3K |
| 99215 |
Prolong outpt/office vis |
54 |
49 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
279 |
227 |
$2K |
| 93000 |
|
150 |
143 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
563 |
492 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$1K |
| 76775 |
|
25 |
21 |
$718.06 |
| 99497 |
|
394 |
320 |
$634.75 |
| 90661 |
|
12 |
12 |
$278.32 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
212 |
171 |
$101.93 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
89 |
76 |
$29.69 |
| 96160 |
|
238 |
198 |
$28.46 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
13 |
$19.47 |
| 1125F |
|
222 |
195 |
$0.00 |
| 3008F |
|
123 |
115 |
$0.00 |
| 1126F |
|
222 |
195 |
$0.00 |
| 1170F |
|
206 |
179 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
426 |
375 |
$0.00 |
| 3074F |
|
51 |
47 |
$0.00 |
| 1159F |
|
201 |
175 |
$0.00 |
| 1158F |
|
185 |
161 |
$0.00 |
| 1090F |
|
201 |
176 |
$0.00 |
| 1003F |
|
186 |
161 |
$0.00 |
| 3288F |
|
202 |
177 |
$0.00 |
| 1160F |
|
200 |
174 |
$0.00 |
| 3078F |
|
25 |
25 |
$0.00 |