| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,080 |
3,431 |
$80K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
142 |
142 |
$7K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
77 |
77 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
34 |
$1K |
| 76770 |
|
12 |
12 |
$406.21 |
| 99497 |
|
88 |
88 |
$330.55 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
237 |
204 |
$174.60 |
| 1170F |
|
31 |
31 |
$74.80 |
| G0008 |
Administration of influenza virus vaccine |
76 |
76 |
$34.20 |
| 90686 |
|
13 |
13 |
$21.90 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
48 |
48 |
$20.72 |
| 90688 |
|
65 |
65 |
$5.58 |
| 36415 |
Collection of venous blood by venipuncture |
249 |
248 |
$0.00 |
| 1126F |
|
121 |
102 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
302 |
249 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
27 |
27 |
$0.00 |
| 1036F |
|
31 |
31 |
$0.00 |
| 1101F |
|
31 |
31 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
17 |
17 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
31 |
$0.00 |
| 3078F |
|
15 |
15 |
$0.00 |
| 1160F |
|
18 |
18 |
$0.00 |
| 3016F |
|
18 |
18 |
$0.00 |
| 0518F |
|
31 |
31 |
$0.00 |
| 1158F |
|
18 |
18 |
$0.00 |
| 93880 |
|
13 |
13 |
$0.00 |
| 1159F |
|
18 |
18 |
$0.00 |
| 1090F |
|
31 |
31 |
$0.00 |