| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,089 |
9,253 |
$355K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,341 |
2,883 |
$162K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
142 |
132 |
$11K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,192 |
937 |
$10K |
| 80305 |
|
1,390 |
1,052 |
$7K |
| 90756 |
|
552 |
469 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
231 |
210 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
768 |
536 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
76 |
24 |
$811.26 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$596.74 |
| 90661 |
|
77 |
64 |
$492.25 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
14 |
$212.70 |
| 36416 |
|
179 |
149 |
$95.63 |
| 99406 |
|
20 |
13 |
$86.64 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
22 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
85 |
82 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
306 |
261 |
$0.00 |