| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,002 |
925 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,629 |
1,588 |
$3K |
| 90674 |
|
64 |
64 |
$440.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
94 |
$254.46 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
264 |
263 |
$200.00 |
| 99215 |
Prolong outpt/office vis |
103 |
103 |
$119.86 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
401 |
401 |
$22.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
188 |
188 |
$0.00 |
| 1157F |
|
266 |
265 |
$0.00 |
| 3008F |
|
442 |
440 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 1158F |
|
269 |
268 |
$0.00 |
| 1090F |
|
423 |
422 |
$0.00 |
| 1160F |
|
243 |
242 |
$0.00 |
| 1159F |
|
251 |
250 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
14 |
$0.00 |