| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,973 |
2,763 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,676 |
1,646 |
$89K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
199 |
199 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
145 |
145 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
153 |
153 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
116 |
116 |
$1K |
| 90686 |
|
121 |
99 |
$638.00 |
| 96127 |
|
134 |
134 |
$288.83 |
| 90688 |
|
12 |
12 |
$132.00 |
| 99173 |
|
29 |
29 |
$101.84 |
| 92551 |
|
13 |
13 |
$44.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
389 |
387 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
188 |
176 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
96 |
93 |
$0.00 |
| 3078F |
|
24 |
24 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
88 |
82 |
$0.00 |
| 96160 |
|
41 |
41 |
$0.00 |