| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
83 |
83 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,167 |
1,093 |
$0.00 |
| 90633 |
|
239 |
239 |
$0.00 |
| 90734 |
|
31 |
31 |
$0.00 |
| G9920 |
Screening performed and negative |
120 |
120 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
319 |
319 |
$0.00 |
| 83655 |
|
179 |
179 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
562 |
562 |
$0.00 |
| 90670 |
|
345 |
345 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
693 |
693 |
$0.00 |
| 99173 |
|
1,046 |
1,045 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
227 |
227 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
54 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
12 |
12 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,427 |
1,427 |
$0.00 |
| 92551 |
|
1,012 |
1,011 |
$0.00 |
| 90744 |
|
92 |
92 |
$0.00 |
| 90686 |
|
676 |
676 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,927 |
1,846 |
$0.00 |
| 85018 |
|
2,011 |
2,006 |
$0.00 |
| 90651 |
|
86 |
86 |
$0.00 |
| 90698 |
|
201 |
201 |
$0.00 |
| 90680 |
|
144 |
144 |
$0.00 |
| 99383 |
|
23 |
23 |
$0.00 |
| 90696 |
|
20 |
20 |
$0.00 |