| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,897 |
8,255 |
$542K |
| 99215 |
Prolong outpt/office vis |
2,014 |
1,819 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,780 |
1,458 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
56 |
$6K |
| 80305 |
|
351 |
331 |
$3K |
| 99205 |
Prolong outpt/office vis |
15 |
13 |
$2K |
| 97760 |
|
30 |
28 |
$1K |
| 96160 |
|
589 |
448 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
66 |
$974.55 |
| 90686 |
|
38 |
36 |
$630.99 |
| 93000 |
|
41 |
38 |
$423.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
53 |
40 |
$377.29 |
| 90674 |
|
23 |
19 |
$360.76 |
| 99406 |
|
15 |
13 |
$133.20 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
332 |
253 |
$118.50 |
| 81002 |
|
58 |
52 |
$100.26 |
| 1125F |
|
403 |
325 |
$0.00 |
| 1126F |
|
336 |
287 |
$0.00 |
| 99000 |
|
70 |
63 |
$0.00 |
| 1090F |
|
1,123 |
918 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
2,852 |
2,493 |
$0.00 |
| 0521F |
|
363 |
296 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
67 |
56 |
$0.00 |