| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,590 |
7,196 |
$770K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,773 |
5,220 |
$418K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,318 |
1,314 |
$130K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
756 |
752 |
$72K |
| 94060 |
|
246 |
246 |
$12K |
| 93000 |
|
722 |
721 |
$11K |
| 99442 |
|
149 |
144 |
$10K |
| 90688 |
|
443 |
443 |
$7K |
| 99401 |
|
324 |
320 |
$7K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
307 |
305 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
352 |
348 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
112 |
108 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
3,881 |
3,839 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$518.16 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
44 |
44 |
$429.09 |
| 3075F |
|
241 |
240 |
$321.76 |
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$298.64 |
| 90658 |
|
17 |
17 |
$272.72 |
| 3079F |
|
256 |
255 |
$246.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$135.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$112.41 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
61 |
61 |
$40.37 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
74 |
74 |
$3.45 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
71 |
71 |
$3.29 |
| G8432 |
Depression screening not documented, reason not given |
71 |
71 |
$3.29 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
29 |
$0.06 |
| 3353F |
|
36 |
36 |
$0.00 |
| 3351F |
|
36 |
36 |
$0.00 |
| 3354F |
|
36 |
36 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
57 |
57 |
$0.00 |
| 3725F |
|
35 |
35 |
$0.00 |