| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,577 |
2,860 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,063 |
1,626 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
40 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
876 |
833 |
$2K |
| 90688 |
|
89 |
85 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
132 |
131 |
$1K |
| 90658 |
|
62 |
62 |
$876.37 |
| 95921 |
|
19 |
18 |
$680.12 |
| 93000 |
|
30 |
28 |
$389.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
45 |
$239.56 |
| 93922 |
|
19 |
17 |
$205.24 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
18 |
17 |
$17.84 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
16 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
16 |
16 |
$0.00 |
| 99497 |
|
19 |
17 |
$0.00 |
| 99490 |
Ccm add 20min |
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$0.00 |