| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,916 |
2,607 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,898 |
3,365 |
$89K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
332 |
320 |
$17K |
| 93000 |
|
906 |
871 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
954 |
895 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$2K |
| 90630 |
|
104 |
101 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$1K |
| 90688 |
|
244 |
160 |
$1K |
| 99497 |
|
136 |
131 |
$1K |
| 90756 |
|
49 |
39 |
$574.28 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
64 |
59 |
$351.05 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
86 |
71 |
$264.70 |
| 96127 |
|
14 |
14 |
$226.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
84 |
$225.07 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
147 |
142 |
$64.78 |
| 96160 |
|
13 |
13 |
$38.74 |
| 81003 |
|
1,213 |
1,161 |
$33.34 |
| 36416 |
|
15 |
15 |
$18.72 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
85 |
82 |
$5.08 |
| 3074F |
|
159 |
157 |
$0.00 |
| 3008F |
|
109 |
104 |
$0.00 |
| 1170F |
|
167 |
163 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
192 |
154 |
$0.00 |
| 1126F |
|
68 |
67 |
$0.00 |
| 99000 |
|
449 |
430 |
$0.00 |
| 3044F |
|
93 |
91 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
62 |
62 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
125 |
121 |
$0.00 |
| 90686 |
|
16 |
14 |
$0.00 |
| 1158F |
|
134 |
132 |
$0.00 |
| 1160F |
|
248 |
242 |
$0.00 |
| 3725F |
|
89 |
88 |
$0.00 |
| 3078F |
|
168 |
166 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
26 |
26 |
$0.00 |