| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,693 |
4,800 |
$200K |
| 99408 |
|
1,259 |
1,200 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
767 |
647 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
53 |
51 |
$4K |
| 90633 |
|
14 |
14 |
$257.60 |
| 1170F |
|
9,287 |
7,865 |
$0.01 |
| 1125F |
|
6,370 |
5,447 |
$0.01 |
| 3074F |
|
5,146 |
4,653 |
$0.01 |
| 1160F |
|
8,093 |
7,265 |
$0.01 |
| 3078F |
|
4,552 |
4,127 |
$0.01 |
| 1159F |
|
5,800 |
5,190 |
$0.01 |
| 1126F |
|
2,073 |
1,732 |
$0.00 |
| 3079F |
|
2,554 |
2,331 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
56 |
42 |
$0.00 |
| 3080F |
|
96 |
90 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
499 |
380 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
57 |
43 |
$0.00 |
| 1101F |
|
24 |
18 |
$0.00 |
| 3075F |
|
358 |
329 |
$0.00 |
| 1111F |
|
53 |
43 |
$0.00 |
| 3008F |
|
17 |
17 |
$0.00 |
| 3077F |
|
1,142 |
1,049 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,705 |
5,752 |
$0.00 |
| 2014F |
|
14 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22 |
16 |
$0.00 |
| 1158F |
|
48 |
42 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
56 |
42 |
$0.00 |