| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,614 |
7,463 |
$32K |
| 99215 |
Prolong outpt/office vis |
200 |
200 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,180 |
9,611 |
$25K |
| 99442 |
|
1,192 |
1,132 |
$22K |
| 90688 |
|
596 |
596 |
$11K |
| 99443 |
|
179 |
176 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
549 |
549 |
$6K |
| 99495 |
|
73 |
71 |
$4K |
| 90662 |
|
697 |
697 |
$2K |
| 99490 |
Ccm add 20min |
183 |
182 |
$1K |
| 90658 |
|
53 |
53 |
$817.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
735 |
734 |
$662.42 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
120 |
120 |
$405.52 |
| 3074F |
|
555 |
539 |
$277.39 |
| 3078F |
|
492 |
479 |
$267.85 |
| 96156 |
|
27 |
27 |
$267.30 |
| 99422 |
|
16 |
16 |
$152.17 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
124 |
$98.48 |
| 93000 |
|
12 |
12 |
$85.34 |
| 3044F |
|
379 |
373 |
$80.55 |
| G0008 |
Administration of influenza virus vaccine |
681 |
681 |
$76.60 |
| 3008F |
|
303 |
303 |
$48.30 |
| 1159F |
|
299 |
299 |
$27.27 |
| 1125F |
|
726 |
726 |
$27.20 |
| 1158F |
|
250 |
250 |
$26.62 |
| 1160F |
|
297 |
297 |
$26.40 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
535 |
535 |
$21.40 |
| 3045F |
|
78 |
78 |
$10.56 |
| 3014F |
|
64 |
64 |
$7.26 |
| 1170F |
|
999 |
999 |
$5.27 |
| 3725F |
|
782 |
782 |
$4.01 |
| 3017F |
|
1,011 |
731 |
$2.31 |
| 3288F |
|
629 |
629 |
$1.77 |
| 2022F |
|
688 |
687 |
$1.47 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
170 |
170 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
324 |
324 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
39 |
39 |
$0.00 |
| 77080 |
|
13 |
13 |
$0.00 |
| 1003F |
|
13 |
13 |
$0.00 |
| 1036F |
|
766 |
765 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
287 |
286 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
478 |
478 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
253 |
253 |
$0.00 |
| 1157F |
|
28 |
28 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
39 |
39 |
$0.00 |
| 1220F |
|
30 |
30 |
$0.00 |
| 3079F |
|
16 |
15 |
$0.00 |