| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,559 |
5,687 |
$183K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,724 |
1,397 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
36 |
$2K |
| 90674 |
|
71 |
61 |
$792.15 |
| 90686 |
|
86 |
78 |
$583.34 |
| 94760 |
|
134 |
106 |
$544.62 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
141 |
127 |
$515.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
34 |
$401.54 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
133 |
72 |
$175.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
12 |
$107.36 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
16 |
14 |
$60.24 |
| 36415 |
Collection of venous blood by venipuncture |
76 |
67 |
$59.97 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
15 |
$48.31 |
| 3078F |
|
38 |
28 |
$30.00 |
| 3074F |
|
39 |
29 |
$30.00 |
| G0008 |
Administration of influenza virus vaccine |
63 |
57 |
$23.01 |
| 90756 |
|
21 |
19 |
$20.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
111 |
39 |
$8.64 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
53 |
40 |
$4.38 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
72 |
57 |
$0.00 |
| 36416 |
|
40 |
14 |
$0.00 |