| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,392 |
5,148 |
$286K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,546 |
1,207 |
$47K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
435 |
244 |
$4K |
| 90682 |
|
108 |
95 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
109 |
107 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,247 |
668 |
$1K |
| 90688 |
|
69 |
64 |
$661.85 |
| 81002 |
|
30 |
26 |
$64.59 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
30 |
29 |
$27.86 |
| G0008 |
Administration of influenza virus vaccine |
181 |
171 |
$26.48 |
| 3078F |
|
487 |
321 |
$0.00 |
| 1160F |
|
17 |
17 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |
| 3077F |
|
71 |
51 |
$0.00 |
| 1159F |
|
17 |
17 |
$0.00 |
| 1158F |
|
17 |
17 |
$0.00 |
| 99499 |
|
52 |
30 |
$0.00 |
| 3079F |
|
466 |
289 |
$0.00 |
| 3074F |
|
547 |
353 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
26 |
$0.00 |
| 3075F |
|
303 |
197 |
$0.00 |
| 1170F |
|
15 |
15 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 3061F |
|
14 |
14 |
$0.00 |