| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,721 |
7,188 |
$320K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,410 |
6,544 |
$273K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,864 |
1,852 |
$122K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
283 |
283 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
382 |
382 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,621 |
1,600 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
264 |
264 |
$21K |
| 90686 |
|
925 |
925 |
$17K |
| 93000 |
|
970 |
956 |
$8K |
| 90746 |
|
141 |
141 |
$8K |
| 90688 |
|
257 |
257 |
$4K |
| 96401 |
|
181 |
181 |
$3K |
| 94010 |
|
128 |
124 |
$2K |
| 99406 |
|
270 |
269 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
59 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
217 |
217 |
$1K |
| 99490 |
Ccm add 20min |
1,443 |
1,424 |
$1K |
| 92250 |
|
41 |
41 |
$1K |
| 90630 |
|
32 |
32 |
$631.23 |
| 93922 |
|
27 |
27 |
$432.45 |
| 90662 |
|
201 |
201 |
$332.75 |
| 90653 |
|
27 |
27 |
$309.15 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
70 |
70 |
$226.56 |
| G0008 |
Administration of influenza virus vaccine |
257 |
257 |
$91.80 |
| 90682 |
|
15 |
15 |
$35.96 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
120 |
101 |
$0.00 |
| 3078F |
|
760 |
680 |
$0.00 |
| 1158F |
|
95 |
95 |
$0.00 |
| 3077F |
|
364 |
340 |
$0.00 |
| 99072 |
|
77 |
73 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$0.00 |
| 2022F |
|
36 |
36 |
$0.00 |
| 3008F |
|
347 |
289 |
$0.00 |
| 1101F |
|
330 |
324 |
$0.00 |
| 3074F |
|
698 |
625 |
$0.00 |
| 3079F |
|
392 |
367 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
145 |
119 |
$0.00 |
| 1126F |
|
2,283 |
2,019 |
$0.00 |
| 2000F |
|
587 |
535 |
$0.00 |
| 0513F |
|
242 |
229 |
$0.00 |
| 1125F |
|
312 |
291 |
$0.00 |
| 3075F |
|
203 |
193 |
$0.00 |
| 3080F |
|
84 |
79 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$0.00 |