| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,709 |
6,497 |
$163K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,422 |
2,117 |
$71K |
| 90756 |
|
224 |
204 |
$3K |
| 96127 |
|
1,993 |
1,798 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
930 |
742 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
164 |
156 |
$1K |
| 99496 |
|
32 |
29 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
265 |
238 |
$945.91 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
106 |
96 |
$934.65 |
| 90688 |
|
70 |
68 |
$554.15 |
| 82962 |
|
375 |
327 |
$419.65 |
| 82948 |
|
159 |
139 |
$410.69 |
| 90661 |
|
19 |
17 |
$308.49 |
| 99497 |
|
51 |
49 |
$295.18 |
| 90674 |
|
14 |
13 |
$255.27 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
59 |
51 |
$135.33 |
| 99406 |
|
14 |
13 |
$98.22 |
| G0008 |
Administration of influenza virus vaccine |
69 |
63 |
$52.35 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
42 |
$45.00 |
| 3074F |
|
4,107 |
3,485 |
$6.73 |
| 3078F |
|
3,761 |
3,181 |
$6.15 |
| 3079F |
|
2,180 |
1,937 |
$2.71 |
| 3075F |
|
1,741 |
1,549 |
$1.92 |
| 3077F |
|
154 |
139 |
$0.20 |
| 1159F |
|
133 |
117 |
$0.06 |
| 1160F |
|
132 |
116 |
$0.06 |
| 1170F |
|
118 |
104 |
$0.06 |
| 1111F |
|
59 |
47 |
$0.03 |
| 1125F |
|
23 |
19 |
$0.03 |
| 3080F |
|
39 |
37 |
$0.03 |
| 1158F |
|
32 |
30 |
$0.01 |
| 1157F |
|
28 |
27 |
$0.01 |
| 3725F |
|
56 |
54 |
$0.00 |
| 4004F |
|
26 |
25 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,620 |
2,994 |
$0.00 |
| 1036F |
|
3,656 |
3,033 |
$0.00 |
| 1101F |
|
150 |
134 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
32 |
30 |
$0.00 |