| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,650 |
3,707 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,427 |
1,283 |
$80K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
45 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
302 |
288 |
$4K |
| 99490 |
Ccm add 20min |
1,381 |
1,335 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
852 |
828 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
843 |
821 |
$2K |
| 93000 |
|
231 |
221 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
48 |
44 |
$985.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$531.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
18 |
$448.00 |
| 90686 |
|
26 |
26 |
$407.83 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
76 |
74 |
$0.00 |
| 99000 |
|
15 |
14 |
$0.00 |