| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,672 |
2,268 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,038 |
971 |
$21K |
| S9999 |
Sales tax |
4,045 |
3,274 |
$928.78 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
13 |
$324.50 |
| G0008 |
Administration of influenza virus vaccine |
25 |
23 |
$10.00 |
| 96127 |
|
98 |
95 |
$0.30 |
| 3074F |
|
225 |
201 |
$0.06 |
| 1160F |
|
37 |
25 |
$0.02 |
| 3078F |
|
152 |
139 |
$0.02 |
| 1159F |
|
37 |
25 |
$0.02 |
| 3008F |
|
392 |
346 |
$0.02 |
| G9275 |
Documentation that patient is a current non-tobacco user |
175 |
141 |
$0.01 |
| 1170F |
|
37 |
25 |
$0.01 |
| 3045F |
|
13 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
181 |
150 |
$0.00 |
| 3075F |
|
43 |
41 |
$0.00 |
| 4037F |
|
93 |
87 |
$0.00 |
| 3079F |
|
30 |
27 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
43 |
41 |
$0.00 |
| 1101F |
|
40 |
26 |
$0.00 |
| 1036F |
|
17 |
15 |
$0.00 |
| 90656 |
|
24 |
22 |
$0.00 |