| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,509 |
3,308 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
319 |
319 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
920 |
816 |
$3K |
| 88141 |
|
45 |
17 |
$2K |
| 99497 |
|
261 |
261 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
640 |
548 |
$2K |
| 87650 |
|
97 |
96 |
$2K |
| G9920 |
Screening performed and negative |
114 |
113 |
$927.71 |
| 94760 |
|
219 |
213 |
$847.27 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
213 |
213 |
$665.29 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
602 |
535 |
$451.92 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
387 |
379 |
$344.32 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
387 |
348 |
$269.12 |
| 92551 |
|
191 |
191 |
$206.04 |
| 1125F |
|
65 |
62 |
$200.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$122.64 |
| 96160 |
|
109 |
105 |
$91.48 |
| 97802 |
|
359 |
306 |
$47.22 |
| 99408 |
|
145 |
142 |
$31.24 |
| 82947 |
|
106 |
103 |
$19.62 |
| 81003 |
|
27 |
27 |
$12.04 |
| 98960 |
|
833 |
742 |
$0.00 |
| 1159F |
|
658 |
630 |
$0.00 |
| 3077F |
|
67 |
64 |
$0.00 |
| 3078F |
|
786 |
753 |
$0.00 |
| 1160F |
|
535 |
510 |
$0.00 |
| 0518F |
|
30 |
30 |
$0.00 |
| 2014F |
|
247 |
246 |
$0.00 |
| 82948 |
|
42 |
41 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
55 |
$0.00 |
| 81002 |
|
79 |
79 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
15 |
$0.00 |
| 97803 |
|
12 |
12 |
$0.00 |
| 1158F |
|
85 |
85 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |
| 1090F |
|
18 |
18 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
181 |
181 |
$0.00 |
| 3008F |
|
1,342 |
1,255 |
$0.00 |
| 3044F |
|
121 |
120 |
$0.00 |
| 3079F |
|
140 |
138 |
$0.00 |
| 1170F |
|
30 |
30 |
$0.00 |
| 1036F |
|
477 |
461 |
$0.00 |
| 1126F |
|
859 |
818 |
$0.00 |
| 99172 |
|
144 |
144 |
$0.00 |
| 3074F |
|
659 |
637 |
$0.00 |
| 85018 |
|
138 |
138 |
$0.00 |
| 1220F |
|
249 |
248 |
$0.00 |
| 3075F |
|
30 |
28 |
$0.00 |
| 96125 |
|
14 |
14 |
$0.00 |
| 96127 |
|
27 |
13 |
$0.00 |
| 3017F |
|
14 |
14 |
$0.00 |