| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,710 |
6,637 |
$407K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,044 |
3,378 |
$166K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
201 |
185 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
172 |
165 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
5,851 |
5,236 |
$8K |
| 99406 |
|
1,052 |
944 |
$6K |
| 90686 |
|
403 |
363 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
158 |
110 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
137 |
68 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
333 |
285 |
$1K |
| 90688 |
|
200 |
157 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$955.34 |
| 0011A |
|
55 |
26 |
$942.01 |
| 90674 |
|
46 |
46 |
$821.88 |
| 0012A |
|
23 |
21 |
$744.00 |
| 0134A |
|
12 |
12 |
$204.00 |
| 3008F |
|
78 |
72 |
$125.00 |
| 99497 |
|
20 |
15 |
$108.44 |
| G0008 |
Administration of influenza virus vaccine |
109 |
94 |
$55.46 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
32 |
28 |
$52.60 |
| 81003 |
|
14 |
12 |
$26.14 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
12 |
$7.22 |
| 91301 |
|
110 |
84 |
$0.53 |
| 91313 |
|
12 |
12 |
$0.03 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
47 |
41 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
23 |
19 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
17 |
14 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
16 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
21 |
17 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
21 |
16 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
18 |
14 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
21 |
18 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
15 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
21 |
17 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |