| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,854 |
3,339 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,498 |
2,323 |
$94K |
| 90656 |
|
173 |
172 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
192 |
189 |
$2K |
| 99215 |
Prolong outpt/office vis |
30 |
30 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
134 |
125 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$929.36 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
59 |
56 |
$160.07 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
25 |
$145.03 |
| 96160 |
|
73 |
70 |
$129.31 |
| 90662 |
|
120 |
115 |
$101.15 |
| G0008 |
Administration of influenza virus vaccine |
106 |
100 |
$31.75 |
| 3074F |
|
100 |
84 |
$5.00 |
| 3079F |
|
36 |
30 |
$1.00 |
| 3078F |
|
17 |
12 |
$1.00 |
| 1101F |
|
16 |
12 |
$0.00 |
| 3008F |
|
213 |
180 |
$0.00 |
| 0509F |
|
50 |
46 |
$0.00 |
| 4004F |
|
59 |
44 |
$0.00 |
| 1159F |
|
13 |
12 |
$0.00 |