| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,146 |
5,370 |
$12K |
| 90756 |
|
250 |
230 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
253 |
253 |
$3K |
| 90674 |
|
237 |
180 |
$2K |
| 96156 |
|
344 |
259 |
$2K |
| 99497 |
|
258 |
258 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
495 |
370 |
$776.60 |
| 96151 |
|
209 |
145 |
$768.05 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
86 |
57 |
$100.00 |
| G0008 |
Administration of influenza virus vaccine |
58 |
58 |
$45.33 |
| 1220F |
|
135 |
135 |
$0.06 |
| 3008F |
|
167 |
167 |
$0.01 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
151 |
151 |
$0.00 |
| 1170F |
|
245 |
245 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
25 |
$0.00 |