| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,470 |
11,730 |
$928K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,528 |
4,489 |
$246K |
| 99215 |
Prolong outpt/office vis |
1,680 |
1,260 |
$92K |
| 99385 |
|
171 |
170 |
$15K |
| 36410 |
|
3,728 |
3,259 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
148 |
147 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
153 |
150 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
124 |
110 |
$11K |
| 90746 |
|
233 |
207 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
1,699 |
1,656 |
$4K |
| 90686 |
|
241 |
196 |
$3K |
| 93000 |
|
277 |
249 |
$3K |
| 99205 |
Prolong outpt/office vis |
21 |
20 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,003 |
785 |
$2K |
| 99442 |
|
31 |
24 |
$705.94 |
| 90756 |
|
31 |
30 |
$698.99 |
| 90688 |
|
95 |
66 |
$660.43 |
| 99497 |
|
41 |
37 |
$607.54 |
| 3044F |
|
1,065 |
801 |
$595.00 |
| 90715 |
|
16 |
15 |
$530.20 |
| 90662 |
|
70 |
48 |
$517.62 |
| 3017F |
|
2,076 |
1,558 |
$250.00 |
| 3078F |
|
6,951 |
5,699 |
$225.00 |
| 90658 |
|
19 |
14 |
$195.54 |
| 3074F |
|
7,351 |
6,046 |
$150.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
32 |
25 |
$149.98 |
| 3075F |
|
1,568 |
1,403 |
$125.00 |
| 90656 |
|
19 |
12 |
$114.40 |
| 3079F |
|
2,145 |
1,944 |
$100.00 |
| G0008 |
Administration of influenza virus vaccine |
114 |
87 |
$52.60 |
| 3014F |
|
2,059 |
1,649 |
$25.02 |
| 4010F |
|
2,774 |
2,153 |
$25.00 |
| 4013F |
|
2,896 |
2,320 |
$25.00 |
| 82565 |
|
270 |
219 |
$0.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,846 |
6,974 |
$0.00 |
| 82043 |
|
118 |
101 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
257 |
224 |
$0.00 |
| 4040F |
|
68 |
45 |
$0.00 |
| 3015F |
|
2,170 |
1,764 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
65 |
40 |
$0.00 |
| 2022F |
|
21 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
197 |
138 |
$0.00 |