| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,789 |
5,002 |
$236K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,624 |
2,323 |
$149K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
698 |
691 |
$50K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
374 |
369 |
$28K |
| 93000 |
|
1,212 |
1,086 |
$12K |
| 90688 |
|
230 |
228 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
562 |
542 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
263 |
258 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$2K |
| 90658 |
|
67 |
67 |
$1K |
| 99397 |
|
24 |
24 |
$674.50 |
| 77080 |
|
15 |
13 |
$533.13 |
| G0008 |
Administration of influenza virus vaccine |
34 |
34 |
$310.27 |
| 90694 |
|
12 |
12 |
$199.29 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
47 |
47 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
289 |
286 |
$0.00 |
| 3008F |
|
720 |
588 |
$0.00 |
| 1101F |
|
14 |
14 |
$0.00 |