| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,517 |
9,593 |
$731K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,604 |
1,406 |
$80K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
768 |
732 |
$69K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,208 |
1,888 |
$24K |
| 99397 |
|
242 |
231 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
168 |
156 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
3,132 |
2,855 |
$7K |
| 93000 |
|
518 |
494 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
387 |
328 |
$5K |
| 94760 |
|
7,237 |
5,220 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
29 |
$4K |
| 90674 |
|
229 |
179 |
$3K |
| 99490 |
Ccm add 20min |
1,063 |
747 |
$2K |
| 99000 |
|
626 |
514 |
$2K |
| 90686 |
|
81 |
78 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
439 |
288 |
$824.45 |
| 90756 |
|
105 |
75 |
$787.08 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
335 |
248 |
$329.37 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
68 |
54 |
$157.58 |
| Q3014 |
Telehealth originating site facility fee |
790 |
562 |
$0.00 |
| 3008F |
|
23 |
15 |
$0.00 |
| 1157F |
|
20 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
24 |
12 |
$0.00 |
| 1170F |
|
23 |
14 |
$0.00 |
| 1159F |
|
30 |
14 |
$0.00 |
| 1160F |
|
22 |
14 |
$0.00 |
| 3078F |
|
19 |
12 |
$0.00 |