| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,806 |
2,707 |
$249K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,276 |
2,987 |
$131K |
| 90686 |
|
501 |
498 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
75 |
75 |
$11K |
| 0012A |
|
199 |
199 |
$8K |
| 0011A |
|
176 |
176 |
$6K |
| 0064A |
|
155 |
155 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
394 |
383 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
113 |
113 |
$4K |
| 91322 |
|
15 |
15 |
$2K |
| 99497 |
|
14 |
14 |
$2K |
| 97750 |
|
48 |
48 |
$2K |
| 0134A |
|
34 |
34 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
72 |
71 |
$1K |
| 99401 |
|
24 |
24 |
$978.18 |
| 96127 |
|
56 |
56 |
$890.25 |
| 90480 |
|
15 |
15 |
$600.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$154.08 |
| G0008 |
Administration of influenza virus vaccine |
64 |
64 |
$0.00 |
| 3008F |
|
59 |
58 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |
| 1101F |
|
23 |
23 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| 1170F |
|
14 |
14 |
$0.00 |
| 1159F |
|
29 |
29 |
$0.00 |
| 1160F |
|
26 |
26 |
$0.00 |