| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,448 |
4,206 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
325 |
319 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
582 |
468 |
$7K |
| 82962 |
|
929 |
830 |
$919.89 |
| 99497 |
|
35 |
33 |
$603.51 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
129 |
111 |
$556.51 |
| 90688 |
|
63 |
60 |
$496.73 |
| 96127 |
|
183 |
179 |
$384.83 |
| 99406 |
|
74 |
73 |
$384.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
22 |
$129.11 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
154 |
152 |
$29.13 |
| G0008 |
Administration of influenza virus vaccine |
27 |
24 |
$13.91 |
| 1160F |
|
133 |
121 |
$0.00 |
| 3288F |
|
246 |
225 |
$0.00 |
| 1100F |
|
196 |
177 |
$0.00 |
| 1159F |
|
145 |
133 |
$0.00 |
| 4040F |
|
13 |
13 |
$0.00 |
| 3078F |
|
58 |
56 |
$0.00 |
| 4274F |
|
15 |
15 |
$0.00 |
| 3077F |
|
14 |
13 |
$0.00 |
| 3008F |
|
1,778 |
1,672 |
$0.00 |
| 1157F |
|
384 |
356 |
$0.00 |
| 3075F |
|
64 |
60 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
683 |
624 |
$0.00 |
| 3079F |
|
145 |
135 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
213 |
201 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
971 |
873 |
$0.00 |
| 1036F |
|
241 |
228 |
$0.00 |
| 1101F |
|
345 |
318 |
$0.00 |
| 1170F |
|
144 |
133 |
$0.00 |
| 1126F |
|
96 |
88 |
$0.00 |
| 2000F |
|
22 |
21 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |