| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,886 |
2,451 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,180 |
945 |
$8K |
| 95924 |
|
99 |
93 |
$2K |
| 95923 |
|
99 |
93 |
$2K |
| 93922 |
|
143 |
93 |
$2K |
| 99215 |
Prolong outpt/office vis |
132 |
118 |
$2K |
| 93923 |
|
55 |
55 |
$2K |
| 77080 |
|
88 |
84 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
374 |
346 |
$937.10 |
| 99397 |
|
144 |
132 |
$593.51 |
| 99454 |
|
474 |
437 |
$534.61 |
| 90686 |
|
98 |
97 |
$480.03 |
| 99457 |
|
512 |
476 |
$297.99 |
| 99458 |
|
537 |
474 |
$263.24 |
| 36415 |
Collection of venous blood by venipuncture |
579 |
471 |
$252.67 |
| 3725F |
|
163 |
152 |
$172.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
39 |
$161.10 |
| 90756 |
|
15 |
15 |
$158.37 |
| 1126F |
|
310 |
270 |
$116.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$103.36 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
147 |
125 |
$95.64 |
| 3008F |
|
1,267 |
991 |
$70.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
27 |
$61.21 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
332 |
308 |
$32.26 |
| G0008 |
Administration of influenza virus vaccine |
85 |
83 |
$23.36 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
91 |
91 |
$11.73 |
| 1170F |
|
346 |
298 |
$3.02 |
| 3078F |
|
932 |
717 |
$0.16 |
| 3074F |
|
934 |
720 |
$0.16 |
| 1160F |
|
1,168 |
910 |
$0.10 |
| 1159F |
|
1,020 |
778 |
$0.08 |
| 1125F |
|
400 |
337 |
$0.03 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
194 |
171 |
$0.02 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
144 |
130 |
$0.01 |
| 4274F |
|
112 |
106 |
$0.01 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
388 |
345 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
45 |
34 |
$0.00 |
| 1494F |
|
57 |
56 |
$0.00 |
| 99453 |
|
12 |
12 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
19 |
18 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
12 |
$0.00 |
| 1036F |
|
264 |
230 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
128 |
108 |
$0.00 |
| 4037F |
|
124 |
116 |
$0.00 |
| 3044F |
|
14 |
12 |
$0.00 |
| 1101F |
|
87 |
80 |
$0.00 |
| 1157F |
|
43 |
39 |
$0.00 |
| 1123F |
|
44 |
42 |
$0.00 |