| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,218 |
3,941 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,001 |
2,265 |
$65K |
| 99401 |
|
770 |
531 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
290 |
231 |
$3K |
| 99497 |
|
167 |
140 |
$1K |
| 99422 |
|
639 |
454 |
$1K |
| 99072 |
|
626 |
493 |
$962.97 |
| 99421 |
|
330 |
231 |
$704.21 |
| 99397 |
|
48 |
47 |
$579.12 |
| 3074F |
|
3,311 |
2,517 |
$293.43 |
| S9999 |
Sales tax |
1,591 |
1,079 |
$182.16 |
| 1160F |
|
224 |
190 |
$177.81 |
| 96127 |
|
695 |
618 |
$152.91 |
| 99423 |
|
64 |
43 |
$145.72 |
| 1158F |
|
27 |
26 |
$116.42 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
34 |
32 |
$112.66 |
| G0406 |
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
23 |
16 |
$40.73 |
| 3078F |
|
2,346 |
1,808 |
$0.60 |
| 3079F |
|
1,192 |
982 |
$0.49 |
| 1159F |
|
315 |
193 |
$0.05 |
| 1170F |
|
220 |
187 |
$0.03 |
| 3075F |
|
74 |
67 |
$0.03 |
| 3044F |
|
177 |
156 |
$0.01 |
| 3725F |
|
743 |
650 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
53 |
52 |
$0.00 |
| 3008F |
|
1,823 |
1,362 |
$0.00 |
| 3048F |
|
65 |
59 |
$0.00 |
| 1126F |
|
30 |
26 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
663 |
563 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
531 |
436 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
40 |
38 |
$0.00 |
| 1125F |
|
61 |
52 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
14 |
13 |
$0.00 |