| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,096 |
4,405 |
$189K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
836 |
834 |
$58K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
668 |
668 |
$46K |
| 93000 |
|
3,331 |
3,287 |
$22K |
| 82947 |
|
1,609 |
1,418 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
321 |
321 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,537 |
3,496 |
$1K |
| 90756 |
|
62 |
62 |
$907.92 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$859.34 |
| 99385 |
|
12 |
12 |
$835.11 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
103 |
103 |
$695.52 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
95 |
95 |
$434.73 |
| 90686 |
|
38 |
38 |
$349.41 |
| 90656 |
|
14 |
14 |
$245.85 |
| 99497 |
|
27 |
27 |
$114.34 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
44 |
43 |
$5.31 |
| 3288F |
|
42 |
42 |
$3.55 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
42 |
42 |
$3.55 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$3.55 |
| 1170F |
|
32 |
32 |
$3.55 |
| 1125F |
|
13 |
13 |
$3.55 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
930 |
929 |
$3.28 |
| G8598 |
Aspirin or another antiplatelet therapy used |
72 |
70 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
32 |
32 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 3008F |
|
587 |
585 |
$0.00 |
| 2000F |
|
326 |
325 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
12 |
12 |
$0.00 |