| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,436 |
2,176 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,792 |
3,297 |
$104K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
715 |
664 |
$46K |
| 90750 |
|
84 |
84 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,296 |
1,164 |
$14K |
| 90756 |
|
506 |
443 |
$13K |
| 90682 |
|
131 |
131 |
$8K |
| 90686 |
|
103 |
103 |
$6K |
| 90673 |
|
30 |
30 |
$5K |
| 90674 |
|
84 |
84 |
$5K |
| 99442 |
|
91 |
84 |
$4K |
| 99443 |
|
38 |
38 |
$3K |
| 99497 |
|
59 |
59 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
1,421 |
1,283 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 90688 |
|
49 |
49 |
$808.83 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
59 |
59 |
$261.81 |
| 1160F |
|
1,157 |
1,111 |
$0.00 |
| 3078F |
|
917 |
856 |
$0.00 |
| 1159F |
|
1,154 |
1,108 |
$0.00 |
| 1158F |
|
816 |
815 |
$0.00 |
| 3725F |
|
1,272 |
1,211 |
$0.00 |
| 3015F |
|
657 |
611 |
$0.00 |
| 0004A |
|
48 |
48 |
$0.00 |
| 91300 |
|
56 |
56 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 1170F |
|
1,264 |
1,215 |
$0.00 |
| 1126F |
|
253 |
253 |
$0.00 |
| 1125F |
|
38 |
38 |
$0.00 |
| 1101F |
|
1,130 |
1,100 |
$0.00 |
| 3048F |
|
431 |
430 |
$0.00 |
| 3008F |
|
1,165 |
1,116 |
$0.00 |
| 3017F |
|
720 |
680 |
$0.00 |
| 1036F |
|
1,111 |
1,053 |
$0.00 |
| 3074F |
|
855 |
794 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
86 |
86 |
$0.00 |
| 0064A |
|
111 |
111 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3014F |
|
460 |
418 |
$0.00 |
| 91306 |
|
111 |
111 |
$0.00 |
| 3075F |
|
28 |
28 |
$0.00 |
| 3049F |
|
88 |
88 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
44 |
44 |
$0.00 |