| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,962 |
5,035 |
$287K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,964 |
1,721 |
$79K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
120 |
118 |
$11K |
| 90756 |
|
148 |
128 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
57 |
$1K |
| 90688 |
|
70 |
64 |
$707.62 |
| 99497 |
|
29 |
27 |
$587.54 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
28 |
25 |
$138.47 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
707 |
579 |
$0.00 |
| 1160F |
|
202 |
161 |
$0.00 |
| 1159F |
|
181 |
141 |
$0.00 |
| 3725F |
|
38 |
32 |
$0.00 |
| 3008F |
|
78 |
66 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 4037F |
|
55 |
47 |
$0.00 |