| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,981 |
2,662 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,598 |
3,136 |
$148K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
53 |
52 |
$4K |
| 99497 |
|
66 |
65 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
117 |
110 |
$2K |
| 96160 |
|
592 |
578 |
$2K |
| 90682 |
|
30 |
30 |
$990.09 |
| 99453 |
|
57 |
57 |
$812.95 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$177.65 |
| 81000 |
|
13 |
12 |
$43.15 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
13 |
$19.30 |
| 3074F |
|
1,740 |
1,495 |
$0.16 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
932 |
770 |
$0.14 |
| 3078F |
|
1,026 |
883 |
$0.09 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
305 |
257 |
$0.05 |
| 3079F |
|
898 |
799 |
$0.04 |
| 3077F |
|
14 |
12 |
$0.00 |
| 1159F |
|
13 |
13 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
50 |
48 |
$0.00 |
| 3075F |
|
16 |
15 |
$0.00 |