| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,767 |
3,801 |
$139K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,310 |
970 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95 |
81 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
38 |
$2K |
| 90686 |
|
47 |
44 |
$816.87 |
| G0008 |
Administration of influenza virus vaccine |
268 |
237 |
$732.84 |
| 90682 |
|
34 |
27 |
$629.46 |
| 90662 |
|
170 |
162 |
$463.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
91 |
$279.20 |
| 99305 |
|
21 |
21 |
$229.12 |
| 36415 |
Collection of venous blood by venipuncture |
106 |
99 |
$80.64 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
25 |
$74.99 |
| 90688 |
|
18 |
12 |
$45.71 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
78 |
66 |
$40.05 |
| 99497 |
|
27 |
25 |
$0.00 |