| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,455 |
1,294 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
427 |
356 |
$12K |
| 93923 |
|
102 |
86 |
$3K |
| 95923 |
|
114 |
98 |
$2K |
| 95924 |
|
88 |
74 |
$2K |
| 93922 |
|
116 |
100 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
231 |
211 |
$702.60 |
| 99484 |
|
234 |
211 |
$658.97 |
| 99490 |
Ccm add 20min |
1,228 |
1,221 |
$234.03 |
| 95921 |
|
12 |
12 |
$225.43 |
| 90662 |
|
227 |
207 |
$188.98 |
| 99458 |
|
1,440 |
1,428 |
$156.48 |
| 99457 |
|
1,722 |
1,710 |
$82.91 |
| 99439 |
|
923 |
917 |
$79.96 |
| 99454 |
|
1,326 |
1,310 |
$0.00 |
| 1170F |
|
228 |
216 |
$0.00 |
| 1126F |
|
207 |
196 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
398 |
362 |
$0.00 |
| 3074F |
|
676 |
601 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
364 |
304 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
224 |
212 |
$0.00 |
| 96127 |
|
110 |
88 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
53 |
50 |
$0.00 |
| 3075F |
|
54 |
51 |
$0.00 |
| 1101F |
|
47 |
41 |
$0.00 |
| 1125F |
|
149 |
139 |
$0.00 |
| 90677 |
|
14 |
12 |
$0.00 |
| 3044F |
|
52 |
46 |
$0.00 |
| 3078F |
|
793 |
710 |
$0.00 |
| 1160F |
|
156 |
148 |
$0.00 |
| 99497 |
|
219 |
207 |
$0.00 |
| 1159F |
|
144 |
137 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
69 |
64 |
$0.00 |
| 3045F |
|
19 |
13 |
$0.00 |