| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,154 |
3,133 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,967 |
1,772 |
$43K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
376 |
372 |
$6K |
| 99429 |
|
205 |
203 |
$5K |
| 3044F |
|
109 |
105 |
$2K |
| 3078F |
|
84 |
84 |
$2K |
| 99497 |
|
83 |
67 |
$1K |
| 99490 |
Ccm add 20min |
752 |
752 |
$831.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
87 |
83 |
$460.44 |
| 90715 |
|
62 |
60 |
$443.10 |
| 3008F |
|
232 |
230 |
$350.00 |
| 90662 |
|
633 |
632 |
$257.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$41.28 |
| 2022F |
|
25 |
25 |
$30.00 |
| 1160F |
|
177 |
176 |
$0.00 |
| 1158F |
|
13 |
13 |
$0.00 |
| 1159F |
|
48 |
48 |
$0.00 |
| 3045F |
|
15 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
871 |
870 |
$0.00 |
| 90688 |
|
186 |
185 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
948 |
946 |
$0.00 |
| 1170F |
|
97 |
96 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| 1126F |
|
69 |
69 |
$0.00 |
| 3072F |
|
12 |
12 |
$0.00 |
| 1157F |
|
84 |
84 |
$0.00 |
| 3075F |
|
28 |
27 |
$0.00 |
| 1125F |
|
34 |
34 |
$0.00 |
| 90694 |
|
27 |
27 |
$0.00 |
| 4010F |
|
33 |
33 |
$0.00 |
| 90686 |
|
21 |
21 |
$0.00 |