| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,169 |
12,285 |
$92K |
| 90688 |
|
2,467 |
2,275 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,504 |
1,303 |
$14K |
| 99397 |
|
1,811 |
1,726 |
$5K |
| 99497 |
|
2,233 |
2,026 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
817 |
784 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,713 |
2,472 |
$2K |
| 99495 |
|
115 |
95 |
$1K |
| 93923 |
|
62 |
40 |
$980.60 |
| 93922 |
|
127 |
58 |
$896.07 |
| 77080 |
|
200 |
196 |
$869.19 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
349 |
306 |
$807.69 |
| 93000 |
|
153 |
150 |
$488.39 |
| 95923 |
|
22 |
14 |
$460.30 |
| G0008 |
Administration of influenza virus vaccine |
1,564 |
1,409 |
$348.20 |
| 90686 |
|
13 |
13 |
$260.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
41 |
$191.99 |
| 1159F |
|
2,839 |
2,461 |
$84.99 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
680 |
670 |
$66.98 |
| 3078F |
|
5,049 |
4,250 |
$0.00 |
| 1160F |
|
3,058 |
2,669 |
$0.00 |
| 3095F |
|
154 |
151 |
$0.00 |
| 4004F |
|
117 |
109 |
$0.00 |
| 3045F |
|
128 |
112 |
$0.00 |
| 3725F |
|
372 |
363 |
$0.00 |
| 3077F |
|
64 |
61 |
$0.00 |
| 1157F |
|
2,467 |
2,114 |
$0.00 |
| 1101F |
|
2,428 |
2,093 |
$0.00 |
| 1170F |
|
2,843 |
2,463 |
$0.00 |
| 3079F |
|
1,082 |
898 |
$0.00 |
| 3044F |
|
675 |
583 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,042 |
4,397 |
$0.00 |
| 1126F |
|
2,693 |
2,324 |
$0.00 |
| 1036F |
|
4,978 |
4,412 |
$0.00 |
| 3075F |
|
2,547 |
2,118 |
$0.00 |
| 3074F |
|
3,728 |
3,189 |
$0.00 |
| 1125F |
|
93 |
90 |
$0.00 |
| 1111F |
|
112 |
97 |
$0.00 |