| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,043 |
5,239 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,353 |
4,799 |
$59K |
| 96156 |
|
389 |
389 |
$8K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
515 |
515 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
230 |
230 |
$3K |
| 96151 |
|
49 |
49 |
$2K |
| 99490 |
Ccm add 20min |
57 |
57 |
$2K |
| 99406 |
|
377 |
377 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
393 |
393 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
183 |
182 |
$836.29 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
103 |
$803.22 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$519.60 |
| 90674 |
|
265 |
265 |
$484.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
42 |
$224.71 |
| 99173 |
|
12 |
12 |
$52.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$40.25 |
| G0008 |
Administration of influenza virus vaccine |
248 |
248 |
$34.67 |
| 81002 |
|
80 |
80 |
$27.24 |
| 90661 |
|
15 |
15 |
$27.03 |
| J0897 |
Injection, denosumab, 1 mg |
27 |
27 |
$0.07 |
| 3077F |
|
33 |
32 |
$0.00 |
| 3078F |
|
224 |
223 |
$0.00 |
| 3074F |
|
201 |
199 |
$0.00 |
| 3079F |
|
43 |
43 |
$0.00 |
| 1000F |
|
20 |
20 |
$0.00 |