| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,952 |
3,084 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,122 |
6,744 |
$65K |
| 99335 |
|
912 |
724 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
441 |
388 |
$16K |
| 99348 |
|
561 |
356 |
$14K |
| 99336 |
|
330 |
312 |
$10K |
| 90756 |
|
297 |
266 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
476 |
451 |
$5K |
| 90674 |
|
253 |
253 |
$4K |
| 99334 |
|
170 |
162 |
$3K |
| 96116 |
|
114 |
84 |
$2K |
| 99349 |
|
77 |
51 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
467 |
369 |
$856.68 |
| 96127 |
|
530 |
530 |
$524.99 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
23 |
16 |
$509.13 |
| 90661 |
|
26 |
26 |
$496.48 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
75 |
74 |
$308.50 |
| 90694 |
|
44 |
44 |
$163.34 |
| G0008 |
Administration of influenza virus vaccine |
158 |
145 |
$125.40 |
| 99497 |
|
34 |
14 |
$98.40 |
| 86580 |
|
29 |
29 |
$95.40 |
| 99072 |
|
1,838 |
1,647 |
$0.00 |