| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,100 |
2,877 |
$63K |
| 99215 |
Prolong outpt/office vis |
1,012 |
965 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,801 |
1,646 |
$28K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
281 |
279 |
$6K |
| 90674 |
|
121 |
121 |
$4K |
| 99429 |
|
142 |
140 |
$3K |
| 3078F |
|
266 |
264 |
$3K |
| 3044F |
|
109 |
109 |
$3K |
| 99497 |
|
49 |
49 |
$3K |
| 3074F |
|
138 |
138 |
$2K |
| 3045F |
|
70 |
70 |
$2K |
| 3008F |
|
250 |
248 |
$2K |
| 3016F |
|
146 |
146 |
$2K |
| 4010F |
|
81 |
81 |
$2K |
| H0049 |
Alcohol and/or drug screening |
129 |
127 |
$1K |
| 3075F |
|
83 |
82 |
$980.00 |
| 90694 |
|
292 |
292 |
$948.31 |
| 96127 |
|
115 |
115 |
$668.96 |
| 3017F |
|
40 |
40 |
$570.00 |
| 90653 |
|
196 |
196 |
$428.64 |
| 1160F |
|
332 |
327 |
$100.00 |
| 1170F |
|
114 |
113 |
$100.00 |
| 2022F |
|
14 |
14 |
$90.00 |
| 1124F |
|
19 |
19 |
$45.00 |
| 1123F |
|
44 |
44 |
$45.00 |
| 1125F |
|
37 |
36 |
$30.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
237 |
237 |
$1.56 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
276 |
276 |
$0.00 |
| 1159F |
|
189 |
184 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
505 |
505 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
277 |
277 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$0.00 |
| 1126F |
|
26 |
26 |
$0.00 |
| 1157F |
|
33 |
33 |
$0.00 |