| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,063 |
3,465 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,083 |
3,387 |
$106K |
| 82962 |
|
1,500 |
1,260 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
127 |
120 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
32 |
28 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
13 |
12 |
$1K |
| 81000 |
|
197 |
181 |
$453.32 |
| 99422 |
|
20 |
13 |
$367.35 |
| 90688 |
|
51 |
40 |
$357.16 |
| 96127 |
|
132 |
96 |
$146.62 |
| 82947 |
|
12 |
12 |
$24.80 |
| 96160 |
|
15 |
14 |
$4.03 |
| G0008 |
Administration of influenza virus vaccine |
18 |
14 |
$0.00 |
| 3008F |
|
395 |
351 |
$0.00 |
| 1170F |
|
16 |
13 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
68 |
59 |
$0.00 |
| 99447 |
|
15 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
28 |
$0.00 |
| 1159F |
|
135 |
121 |
$0.00 |
| 1160F |
|
115 |
104 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
83 |
65 |
$0.00 |
| 1100F |
|
15 |
13 |
$0.00 |