| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,029 |
4,422 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,951 |
1,908 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
937 |
932 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
108 |
108 |
$2K |
| 88150 |
|
43 |
43 |
$371.95 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
43 |
43 |
$140.00 |
| G0008 |
Administration of influenza virus vaccine |
181 |
178 |
$76.30 |
| 90686 |
|
67 |
67 |
$50.72 |
| 3078F |
|
1,077 |
1,022 |
$30.00 |
| 3074F |
|
1,140 |
1,077 |
$30.00 |
| 1159F |
|
102 |
102 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
51 |
51 |
$0.00 |
| 81003 |
|
15 |
13 |
$0.00 |
| 1160F |
|
100 |
100 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
41 |
$0.00 |
| 3075F |
|
51 |
50 |
$0.00 |
| 3008F |
|
107 |
107 |
$0.00 |
| 3079F |
|
142 |
141 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
33 |
33 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
15 |
$0.00 |
| 90674 |
|
25 |
22 |
$0.00 |