| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99423 |
|
2,693 |
675 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,933 |
2,577 |
$104K |
| 99444 |
|
1,814 |
451 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,428 |
1,986 |
$62K |
| 99000 |
|
588 |
548 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
40 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
115 |
108 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
162 |
157 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$1K |
| 90686 |
|
92 |
89 |
$725.05 |
| 36410 |
|
259 |
229 |
$585.44 |
| 90756 |
|
86 |
82 |
$351.68 |
| 99454 |
|
222 |
222 |
$283.88 |
| 99458 |
|
223 |
223 |
$207.14 |
| 99457 |
|
223 |
223 |
$199.07 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
192 |
91 |
$138.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
15 |
$114.24 |
| 99490 |
Ccm add 20min |
266 |
266 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
24 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
62 |
42 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$0.00 |