| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,234 |
3,347 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
379 |
310 |
$5K |
| 99442 |
|
230 |
218 |
$2K |
| 0012A |
|
143 |
143 |
$185.40 |
| 90674 |
|
50 |
39 |
$149.70 |
| 0011A |
|
152 |
152 |
$121.92 |
| 99441 |
|
12 |
12 |
$88.07 |
| 0004A |
|
45 |
45 |
$37.08 |
| 94760 |
|
490 |
279 |
$22.60 |
| 1159F |
|
5,305 |
4,170 |
$0.00 |
| 3078F |
|
1,703 |
1,321 |
$0.00 |
| 1160F |
|
5,264 |
3,980 |
$0.00 |
| 3028F |
|
1,376 |
951 |
$0.00 |
| 3288F |
|
1,961 |
1,568 |
$0.00 |
| 4013F |
|
213 |
140 |
$0.00 |
| 3725F |
|
4,019 |
3,056 |
$0.00 |
| 1158F |
|
2,586 |
2,180 |
$0.00 |
| 1090F |
|
841 |
702 |
$0.00 |
| 1124F |
|
565 |
523 |
$0.00 |
| 1091F |
|
22 |
12 |
$0.00 |
| 0518F |
|
127 |
107 |
$0.00 |
| S0221 |
Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes |
36 |
24 |
$0.00 |
| 3095F |
|
12 |
12 |
$0.00 |
| 4274F |
|
69 |
63 |
$0.00 |
| 4145F |
|
61 |
37 |
$0.00 |
| 0002A |
|
16 |
16 |
$0.00 |
| 3008F |
|
4,266 |
3,311 |
$0.00 |
| 1036F |
|
2,631 |
2,144 |
$0.00 |
| 1126F |
|
2,123 |
1,667 |
$0.00 |
| 1170F |
|
4,007 |
3,070 |
$0.00 |
| 3037F |
|
2,321 |
1,705 |
$0.00 |
| 1030F |
|
2,727 |
2,165 |
$0.00 |
| 1125F |
|
199 |
178 |
$0.00 |
| 3017F |
|
520 |
447 |
$0.00 |
| 1101F |
|
1,949 |
1,441 |
$0.00 |
| 3074F |
|
1,066 |
878 |
$0.00 |
| 1157F |
|
249 |
218 |
$0.00 |
| 1022F |
|
1,460 |
1,075 |
$0.00 |
| 1000F |
|
1,568 |
1,448 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
69 |
39 |
$0.00 |
| 1015F |
|
218 |
146 |
$0.00 |
| 3014F |
|
156 |
130 |
$0.00 |
| 3079F |
|
45 |
40 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
35 |
27 |
$0.00 |
| 3075F |
|
67 |
57 |
$0.00 |
| 0001A |
|
17 |
17 |
$0.00 |
| 0509F |
|
30 |
27 |
$0.00 |
| 3044F |
|
33 |
16 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
14 |
$0.00 |
| 3048F |
|
20 |
13 |
$0.00 |
| 90677 |
|
15 |
14 |
$0.00 |