| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,139 |
8,496 |
$298K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,614 |
4,596 |
$124K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,799 |
1,541 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
184 |
163 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,036 |
914 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
75 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
33 |
31 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,851 |
1,365 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
90 |
69 |
$646.42 |
| 90686 |
|
57 |
38 |
$508.97 |
| 90658 |
|
33 |
30 |
$379.20 |
| 1125F |
|
363 |
312 |
$190.00 |
| 1159F |
|
397 |
345 |
$150.00 |
| 3008F |
|
444 |
386 |
$60.07 |
| 1160F |
|
251 |
220 |
$60.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
14 |
$42.89 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
99 |
24 |
$36.23 |
| 3079F |
|
44 |
40 |
$30.00 |
| 3075F |
|
14 |
13 |
$20.00 |
| G0008 |
Administration of influenza virus vaccine |
112 |
98 |
$10.96 |
| 3074F |
|
68 |
56 |
$10.00 |
| 3078F |
|
30 |
28 |
$10.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
56 |
40 |
$6.00 |
| 96127 |
|
284 |
242 |
$5.02 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
24 |
$0.01 |
| 1170F |
|
281 |
227 |
$0.00 |
| 1000F |
|
356 |
290 |
$0.00 |
| 99318 |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
19 |
19 |
$0.00 |
| 1036F |
|
93 |
76 |
$0.00 |
| 1034F |
|
29 |
24 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
21 |
19 |
$0.00 |
| 3288F |
|
122 |
100 |
$0.00 |
| 90662 |
|
54 |
53 |
$0.00 |