| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,568 |
4,929 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,917 |
2,449 |
$33K |
| 90658 |
|
805 |
762 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
991 |
925 |
$5K |
| 99497 |
|
580 |
505 |
$2K |
| 99397 |
|
395 |
368 |
$2K |
| 90662 |
|
433 |
381 |
$1K |
| 99454 |
|
899 |
848 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
199 |
165 |
$668.30 |
| 99458 |
|
929 |
868 |
$537.22 |
| 99457 |
|
913 |
867 |
$357.17 |
| G0008 |
Administration of influenza virus vaccine |
331 |
290 |
$201.70 |
| 94010 |
|
14 |
13 |
$137.12 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
33 |
31 |
$56.83 |
| 3074F |
|
4,809 |
4,149 |
$5.00 |
| 3078F |
|
4,764 |
4,107 |
$5.00 |
| 99453 |
|
46 |
44 |
$4.32 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,204 |
4,414 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
6,228 |
5,258 |
$0.00 |
| 1125F |
|
105 |
82 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
183 |
164 |
$0.00 |
| 96127 |
|
3,672 |
3,148 |
$0.00 |
| 1126F |
|
527 |
459 |
$0.00 |
| 1101F |
|
667 |
573 |
$0.00 |
| 1170F |
|
579 |
497 |
$0.00 |
| 3044F |
|
843 |
752 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,751 |
4,020 |
$0.00 |
| 1160F |
|
561 |
477 |
$0.00 |
| 3045F |
|
189 |
165 |
$0.00 |
| 1159F |
|
475 |
410 |
$0.00 |