| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,929 |
2,733 |
$59K |
| 99443 |
|
1,307 |
1,275 |
$54K |
| 99336 |
|
784 |
626 |
$31K |
| 99442 |
|
860 |
834 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
814 |
584 |
$26K |
| 99335 |
|
84 |
59 |
$3K |
| 99349 |
|
87 |
66 |
$2K |
| 99441 |
|
55 |
54 |
$1K |
| 99358 |
Prolong nursin fac eval 15m |
33 |
31 |
$569.29 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
28 |
$500.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
34 |
26 |
$257.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
18 |
$247.69 |
| G0008 |
Administration of influenza virus vaccine |
208 |
206 |
$101.13 |
| 90686 |
|
41 |
40 |
$66.92 |
| 99497 |
|
52 |
51 |
$62.63 |
| 90688 |
|
76 |
76 |
$44.76 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
67 |
67 |
$19.15 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
29 |
29 |
$17.26 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
68 |
68 |
$14.85 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
13 |
12 |
$3.12 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
30 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
20 |
20 |
$0.00 |
| 90756 |
|
48 |
48 |
$0.00 |
| 90662 |
|
20 |
19 |
$0.00 |