| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,984 |
2,659 |
$286K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
875 |
859 |
$93K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
456 |
447 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
432 |
397 |
$28K |
| 99215 |
Prolong outpt/office vis |
42 |
42 |
$5K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
65 |
62 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
125 |
113 |
$3K |
| 99407 |
|
104 |
100 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 96103 |
|
81 |
76 |
$703.54 |
| 93000 |
|
17 |
17 |
$256.99 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
14 |
$177.66 |
| 81002 |
|
12 |
12 |
$25.68 |
| 99000 |
|
15 |
14 |
$0.00 |