| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,417 |
8,118 |
$378K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
623 |
608 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
521 |
509 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
160 |
160 |
$13K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
267 |
252 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
39 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
227 |
224 |
$934.10 |
| 99423 |
|
29 |
28 |
$510.48 |
| 99497 |
|
86 |
84 |
$403.98 |
| 93000 |
|
29 |
29 |
$366.55 |
| 90686 |
|
61 |
61 |
$293.32 |
| 99422 |
|
22 |
22 |
$255.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$163.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
180 |
147 |
$100.63 |
| 90688 |
|
15 |
15 |
$86.15 |
| 90656 |
|
18 |
15 |
$73.07 |
| 1111F |
|
3,771 |
3,660 |
$48.00 |
| 3074F |
|
1,611 |
1,566 |
$28.03 |
| G0008 |
Administration of influenza virus vaccine |
29 |
27 |
$14.92 |
| 2022F |
|
28 |
26 |
$2.00 |
| 3044F |
|
28 |
26 |
$2.00 |
| 3061F |
|
29 |
27 |
$2.00 |
| 3288F |
|
2,796 |
2,716 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,393 |
3,309 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,388 |
1,354 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
1,230 |
1,191 |
$0.00 |
| 4013F |
|
1,923 |
1,867 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
35 |
31 |
$0.00 |
| 3014F |
|
947 |
910 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
3,314 |
3,230 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,335 |
3,251 |
$0.00 |
| 3017F |
|
215 |
205 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
2,354 |
2,307 |
$0.00 |