| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,581 |
6,838 |
$579K |
| 99215 |
Prolong outpt/office vis |
1,250 |
1,149 |
$139K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
673 |
622 |
$86K |
| 99490 |
Ccm add 20min |
4,039 |
3,831 |
$36K |
| G0008 |
Administration of influenza virus vaccine |
648 |
568 |
$14K |
| 99491 |
Ccm add 20min |
621 |
591 |
$13K |
| 90674 |
|
464 |
433 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
635 |
597 |
$11K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
266 |
231 |
$6K |
| 93000 |
|
409 |
369 |
$6K |
| 3288F |
|
66 |
54 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
41 |
$4K |
| 99406 |
|
165 |
133 |
$2K |
| 90662 |
|
106 |
105 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$2K |
| 99497 |
|
530 |
484 |
$1K |
| 90756 |
|
50 |
45 |
$1K |
| 1170F |
|
27 |
27 |
$954.67 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
331 |
293 |
$949.63 |
| 90661 |
|
91 |
90 |
$110.55 |
| 90686 |
|
18 |
18 |
$76.16 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
516 |
467 |
$55.26 |
| 3074F |
|
14 |
13 |
$20.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 1160F |
|
20 |
18 |
$0.00 |
| 90653 |
|
39 |
39 |
$0.00 |
| 90694 |
|
307 |
248 |
$0.00 |