| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,907 |
9,166 |
$502K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,489 |
4,899 |
$324K |
| 99442 |
|
1,751 |
1,332 |
$61K |
| 99215 |
Prolong outpt/office vis |
663 |
568 |
$47K |
| 99205 |
Prolong outpt/office vis |
195 |
177 |
$23K |
| 93000 |
|
2,231 |
1,887 |
$20K |
| 94010 |
|
764 |
655 |
$16K |
| 99443 |
|
81 |
71 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
43 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
157 |
90 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,562 |
1,090 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
464 |
321 |
$2K |
| 90688 |
|
112 |
97 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
111 |
61 |
$958.08 |
| 90674 |
|
139 |
109 |
$933.46 |
| 81000 |
|
360 |
309 |
$860.93 |
| 85018 |
|
459 |
318 |
$561.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
148 |
119 |
$337.80 |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
12 |
12 |
$325.88 |
| 99000 |
|
283 |
199 |
$291.44 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
12 |
$248.08 |
| 90661 |
|
16 |
15 |
$209.00 |
| 99406 |
|
81 |
69 |
$169.54 |
| 90686 |
|
12 |
12 |
$159.28 |
| 82962 |
|
99 |
57 |
$70.20 |
| G0008 |
Administration of influenza virus vaccine |
145 |
93 |
$65.16 |
| 36416 |
|
114 |
63 |
$21.20 |