| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,426 |
1,197 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
191 |
175 |
$5K |
| 99442 |
|
458 |
405 |
$4K |
| 99441 |
|
98 |
79 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$848.69 |
| 93000 |
|
13 |
12 |
$125.72 |
| 1160F |
|
31 |
27 |
$0.00 |
| 90756 |
|
27 |
27 |
$0.00 |
| 1159F |
|
41 |
34 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |
| 1220F |
|
12 |
12 |
$0.00 |
| 1000F |
|
32 |
29 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
31 |
31 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$0.00 |
| 3008F |
|
19 |
19 |
$0.00 |
| 99406 |
|
12 |
12 |
$0.00 |