| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,565 |
3,335 |
$177K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,071 |
979 |
$34K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
43 |
41 |
$4K |
| 99397 |
|
35 |
31 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
140 |
130 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
171 |
135 |
$993.16 |
| 90686 |
|
92 |
84 |
$675.75 |
| 90688 |
|
91 |
84 |
$576.30 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
45 |
44 |
$387.53 |
| 90656 |
|
22 |
20 |
$230.59 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
23 |
22 |
$138.08 |
| 96127 |
|
20 |
17 |
$77.38 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
27 |
25 |
$0.09 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
16 |
14 |
$0.00 |