| Code | Description | Claims | Beneficiaries | Total Paid |
| 90674 |
|
131 |
130 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,934 |
2,820 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,628 |
5,326 |
$2K |
| 90756 |
|
68 |
67 |
$1K |
| 3074F |
|
911 |
890 |
$200.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
124 |
122 |
$136.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
516 |
499 |
$125.44 |
| 3075F |
|
290 |
285 |
$50.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
141 |
114 |
$18.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
213 |
211 |
$3.02 |
| 94760 |
|
46 |
46 |
$0.51 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,769 |
1,715 |
$0.24 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
165 |
162 |
$0.09 |
| 96160 |
|
630 |
609 |
$0.03 |
| 3079F |
|
606 |
594 |
$0.00 |
| 3008F |
|
1,056 |
1,033 |
$0.00 |
| 1036F |
|
1,543 |
1,480 |
$0.00 |
| 1220F |
|
610 |
605 |
$0.00 |
| 3351F |
|
235 |
235 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
41 |
41 |
$0.00 |
| 3080F |
|
41 |
39 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
40 |
40 |
$0.00 |
| 1034F |
|
12 |
12 |
$0.00 |
| 3078F |
|
669 |
656 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
569 |
555 |
$0.00 |
| G9920 |
Screening performed and negative |
524 |
506 |
$0.00 |
| 3077F |
|
117 |
114 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
20 |
20 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
21 |
21 |
$0.00 |