| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,266 |
10,302 |
$572K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,884 |
1,633 |
$31K |
| 90658 |
|
250 |
249 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
351 |
350 |
$4K |
| 90688 |
|
447 |
439 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
927 |
896 |
$2K |
| 99397 |
|
571 |
551 |
$2K |
| 82947 |
|
596 |
560 |
$776.17 |
| G0008 |
Administration of influenza virus vaccine |
319 |
313 |
$421.76 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
349 |
349 |
$247.74 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
45 |
38 |
$22.50 |
| 3078F |
|
626 |
605 |
$0.01 |
| 3075F |
|
479 |
454 |
$0.01 |
| 1160F |
|
927 |
888 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 1159F |
|
939 |
901 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
100 |
96 |
$0.00 |
| 1158F |
|
427 |
398 |
$0.00 |
| 4274F |
|
21 |
21 |
$0.00 |
| 2000F |
|
622 |
589 |
$0.00 |
| 1125F |
|
415 |
391 |
$0.00 |
| 3008F |
|
931 |
887 |
$0.00 |
| 1126F |
|
520 |
499 |
$0.00 |
| 1157F |
|
464 |
454 |
$0.00 |
| 1170F |
|
962 |
916 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
336 |
328 |
$0.00 |
| 3074F |
|
132 |
130 |
$0.00 |
| 3079F |
|
99 |
89 |
$0.00 |