| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,874 |
6,061 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,010 |
940 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
171 |
164 |
$10K |
| 90688 |
|
316 |
315 |
$3K |
| 99386 |
|
73 |
72 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
268 |
266 |
$2K |
| 90686 |
|
74 |
74 |
$1K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
74 |
69 |
$1K |
| 36410 |
|
228 |
225 |
$780.93 |
| G0008 |
Administration of influenza virus vaccine |
157 |
156 |
$284.77 |
| 99385 |
|
12 |
12 |
$228.20 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$49.71 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$13.90 |