| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,394 |
1,374 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,003 |
1,826 |
$123K |
| 99401 |
|
1,320 |
1,218 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
143 |
143 |
$15K |
| 90674 |
|
277 |
277 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
396 |
392 |
$5K |
| 96127 |
|
764 |
763 |
$2K |
| 81002 |
|
648 |
643 |
$1K |
| 90661 |
|
19 |
19 |
$709.85 |
| 36415 |
Collection of venous blood by venipuncture |
1,188 |
1,169 |
$656.76 |
| 99454 |
|
32 |
32 |
$485.23 |
| 3074F |
|
283 |
266 |
$480.00 |
| 3078F |
|
251 |
239 |
$430.00 |
| 3079F |
|
42 |
39 |
$115.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
30 |
30 |
$101.77 |
| 3075F |
|
14 |
12 |
$62.50 |
| 99457 |
|
12 |
12 |
$60.31 |
| 1160F |
|
695 |
617 |
$20.00 |
| 1159F |
|
685 |
612 |
$20.00 |
| 99490 |
Ccm add 20min |
12 |
12 |
$14.66 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.05 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
524 |
498 |
$0.00 |
| 4013F |
|
27 |
26 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
121 |
121 |
$0.00 |
| 2001F |
|
240 |
222 |
$0.00 |
| 3008F |
|
533 |
498 |
$0.00 |
| 2010F |
|
558 |
523 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
450 |
411 |
$0.00 |
| 2000F |
|
239 |
220 |
$0.00 |
| 3351F |
|
432 |
402 |
$0.00 |
| 36416 |
|
32 |
31 |
$0.00 |