| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
111 |
104 |
$373.84 |
| 90686 |
|
41 |
41 |
$270.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
628 |
592 |
$145.56 |
| 99442 |
|
16 |
16 |
$120.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
57 |
$90.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
12 |
12 |
$26.88 |
| 90656 |
|
49 |
49 |
$24.23 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$21.15 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
74 |
$0.00 |
| 3074F |
|
162 |
157 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
142 |
134 |
$0.00 |
| 99443 |
|
12 |
12 |
$0.00 |
| 3079F |
|
66 |
65 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
21 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
78 |
74 |
$0.00 |
| 3078F |
|
130 |
126 |
$0.00 |
| 3077F |
|
15 |
15 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
50 |
$0.00 |