| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,120 |
8,559 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,547 |
11,237 |
$23K |
| 90688 |
|
493 |
491 |
$11K |
| 90662 |
|
335 |
333 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,153 |
1,090 |
$3K |
| 88150 |
|
128 |
128 |
$2K |
| 0003A |
|
44 |
43 |
$2K |
| 0013A |
|
45 |
45 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,609 |
2,604 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
463 |
462 |
$145.04 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
110 |
107 |
$126.90 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,434 |
2,429 |
$82.24 |
| G0008 |
Administration of influenza virus vaccine |
104 |
102 |
$70.71 |
| 96127 |
|
177 |
176 |
$10.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,093 |
1,092 |
$0.43 |
| 3079F |
|
721 |
707 |
$0.00 |
| 3074F |
|
1,676 |
1,649 |
$0.00 |
| 3075F |
|
654 |
638 |
$0.00 |
| 3008F |
|
1,908 |
1,860 |
$0.00 |
| 1101F |
|
137 |
137 |
$0.00 |
| 3044F |
|
43 |
43 |
$0.00 |
| 3080F |
|
117 |
114 |
$0.00 |
| 88142 |
|
24 |
24 |
$0.00 |
| 3061F |
|
71 |
71 |
$0.00 |
| 3014F |
|
72 |
69 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
45 |
45 |
$0.00 |
| 1126F |
|
29 |
29 |
$0.00 |
| 1170F |
|
125 |
125 |
$0.00 |
| 99386 |
|
36 |
36 |
$0.00 |
| 3017F |
|
19 |
19 |
$0.00 |
| 1125F |
|
46 |
46 |
$0.00 |
| 2022F |
|
29 |
29 |
$0.00 |
| 1090F |
|
127 |
127 |
$0.00 |
| 99397 |
|
269 |
269 |
$0.00 |
| 3077F |
|
289 |
280 |
$0.00 |
| 3078F |
|
1,735 |
1,693 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
45 |
45 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
48 |
48 |
$0.00 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
17 |
17 |
$0.00 |
| 1160F |
|
122 |
122 |
$0.00 |
| 1159F |
|
124 |
124 |
$0.00 |
| 3725F |
|
271 |
270 |
$0.00 |
| 1158F |
|
121 |
121 |
$0.00 |
| 3288F |
|
21 |
21 |
$0.00 |