| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,750 |
3,057 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,506 |
3,421 |
$95K |
| 80305 |
|
2,298 |
2,040 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
93 |
91 |
$7K |
| 99406 |
|
193 |
143 |
$943.43 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
13 |
$763.20 |
| 96127 |
|
181 |
159 |
$391.99 |
| 94060 |
|
15 |
14 |
$276.74 |
| 80061 |
Lipid panel |
13 |
12 |
$134.46 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
22 |
20 |
$98.89 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
13 |
$84.00 |
| 90688 |
|
12 |
12 |
$71.58 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
14 |
13 |
$14.73 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
49 |
39 |
$5.86 |
| 1160F |
|
290 |
242 |
$0.00 |
| 1125F |
|
241 |
212 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
33 |
31 |
$0.00 |
| 1126F |
|
33 |
29 |
$0.00 |