| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,397 |
3,807 |
$300K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,143 |
1,514 |
$103K |
| G8482 |
Influenza immunization administered or previously received |
1,950 |
1,640 |
$18K |
| 1036F |
|
2,540 |
2,132 |
$12K |
| 90682 |
|
99 |
91 |
$4K |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
727 |
595 |
$3K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,658 |
2,240 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
958 |
830 |
$2K |
| 99205 |
Prolong outpt/office vis |
16 |
13 |
$2K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
598 |
506 |
$2K |
| 90688 |
|
96 |
74 |
$1K |
| 3017F |
|
458 |
403 |
$1K |
| 3008F |
|
1,409 |
1,182 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
88 |
67 |
$993.90 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
57 |
52 |
$943.77 |
| 99000 |
|
810 |
719 |
$869.91 |
| 4004F |
|
697 |
583 |
$714.65 |
| G0008 |
Administration of influenza virus vaccine |
94 |
88 |
$673.67 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
45 |
38 |
$609.80 |
| G8404 |
Lower extremity neurological exam performed and documented |
397 |
369 |
$604.82 |
| 99051 |
|
69 |
58 |
$604.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
182 |
148 |
$538.88 |
| 99058 |
|
23 |
22 |
$328.20 |
| 82947 |
|
160 |
136 |
$307.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
14 |
$256.40 |
| G8484 |
Influenza immunization was not administered, reason not given |
34 |
31 |
$249.79 |
| W7010 |
|
16 |
15 |
$240.50 |
| 1123F |
|
160 |
144 |
$226.68 |
| 4040F |
|
374 |
341 |
$207.16 |
| 96127 |
|
45 |
38 |
$176.15 |
| 3044F |
|
194 |
152 |
$140.52 |
| 90662 |
|
31 |
28 |
$92.82 |
| 3014F |
|
27 |
24 |
$52.50 |
| 1100F |
|
19 |
15 |
$29.14 |
| 99173 |
|
12 |
12 |
$29.12 |
| 3074F |
|
33 |
30 |
$0.00 |
| 3061F |
|
42 |
37 |
$0.00 |
| 2022F |
|
14 |
13 |
$0.00 |
| 3078F |
|
30 |
29 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
47 |
42 |
$0.00 |