| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,831 |
2,635 |
$200K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,653 |
3,268 |
$182K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
298 |
292 |
$24K |
| 99497 |
|
554 |
523 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
133 |
127 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
825 |
804 |
$9K |
| 90686 |
|
397 |
391 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
293 |
249 |
$6K |
| 99401 |
|
185 |
151 |
$5K |
| 93000 |
|
438 |
425 |
$5K |
| 90746 |
|
72 |
71 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
207 |
207 |
$2K |
| 96127 |
|
567 |
552 |
$2K |
| 90674 |
|
68 |
67 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
24 |
$388.11 |
| 82962 |
|
327 |
304 |
$352.68 |
| 90662 |
|
28 |
27 |
$110.22 |
| G0008 |
Administration of influenza virus vaccine |
27 |
26 |
$31.76 |
| 99490 |
Ccm add 20min |
12 |
12 |
$6.38 |
| 3008F |
|
5,392 |
4,781 |
$6.00 |
| 1111F |
|
32 |
27 |
$4.00 |
| 2000F |
|
1,171 |
1,074 |
$0.00 |
| 1036F |
|
677 |
612 |
$0.00 |
| 3074F |
|
4,033 |
3,606 |
$0.00 |
| 2010F |
|
5,370 |
4,875 |
$0.00 |
| 3079F |
|
1,036 |
975 |
$0.00 |
| 3075F |
|
833 |
785 |
$0.00 |
| 3048F |
|
28 |
27 |
$0.00 |
| 3044F |
|
566 |
553 |
$0.00 |
| 1170F |
|
13 |
12 |
$0.00 |
| 1034F |
|
28 |
25 |
$0.00 |
| 3080F |
|
43 |
40 |
$0.00 |
| 1101F |
|
13 |
12 |
$0.00 |
| 4037F |
|
147 |
147 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
25 |
$0.00 |
| 3014F |
|
12 |
12 |
$0.00 |
| 1125F |
|
13 |
12 |
$0.00 |
| 3077F |
|
350 |
325 |
$0.00 |
| 3078F |
|
4,205 |
3,749 |
$0.00 |
| 1160F |
|
6,105 |
5,450 |
$0.00 |
| 3725F |
|
1,172 |
1,111 |
$0.00 |
| 1033F |
|
211 |
192 |
$0.00 |
| 3050F |
|
137 |
127 |
$0.00 |
| 1159F |
|
6,121 |
5,515 |
$0.00 |
| 1158F |
|
398 |
379 |
$0.00 |
| 0521F |
|
13 |
12 |
$0.00 |
| 0518F |
|
13 |
12 |
$0.00 |
| 1090F |
|
15 |
13 |
$0.00 |