| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,737 |
2,241 |
$71K |
| 99215 |
Prolong outpt/office vis |
371 |
325 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
524 |
444 |
$10K |
| 99401 |
|
206 |
161 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
169 |
148 |
$5K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
176 |
144 |
$801.46 |
| 96127 |
|
430 |
372 |
$449.42 |
| 0518F |
|
337 |
264 |
$420.64 |
| 99397 |
|
30 |
30 |
$195.88 |
| 1160F |
|
336 |
263 |
$163.20 |
| 1170F |
|
326 |
251 |
$122.45 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
19 |
18 |
$64.40 |
| 1090F |
|
309 |
239 |
$32.64 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
125 |
106 |
$11.42 |
| 3079F |
|
254 |
209 |
$0.00 |
| 3008F |
|
4,044 |
3,051 |
$0.00 |
| 1123F |
|
242 |
198 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
528 |
431 |
$0.00 |
| 3074F |
|
2,433 |
1,938 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
660 |
547 |
$0.00 |
| 1157F |
|
19 |
12 |
$0.00 |
| 3075F |
|
960 |
764 |
$0.00 |
| 1126F |
|
116 |
86 |
$0.00 |
| 1036F |
|
112 |
95 |
$0.00 |
| 3078F |
|
3,691 |
2,874 |
$0.00 |
| 1159F |
|
248 |
190 |
$0.00 |
| 2028F |
|
83 |
74 |
$0.00 |
| 3725F |
|
19 |
16 |
$0.00 |