| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,855 |
6,673 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,265 |
4,816 |
$80K |
| 90694 |
|
84 |
84 |
$846.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
196 |
180 |
$698.92 |
| 90674 |
|
180 |
180 |
$684.21 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$600.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
266 |
264 |
$534.22 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
24 |
24 |
$360.89 |
| 90756 |
|
50 |
49 |
$350.00 |
| G0008 |
Administration of influenza virus vaccine |
231 |
231 |
$263.90 |
| 20610 |
|
23 |
12 |
$100.66 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
756 |
753 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3008F |
|
66 |
64 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| 3074F |
|
20 |
20 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
155 |
154 |
$0.00 |
| 99397 |
|
15 |
15 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |