| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,588 |
9,780 |
$633K |
| 99215 |
Prolong outpt/office vis |
2,789 |
2,018 |
$177K |
| 99205 |
Prolong outpt/office vis |
1,140 |
1,017 |
$96K |
| 96127 |
|
11,351 |
8,883 |
$91K |
| 99385 |
|
307 |
288 |
$38K |
| 96156 |
|
1,973 |
1,972 |
$24K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,372 |
2,371 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
185 |
144 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
255 |
244 |
$8K |
| 96150 |
|
686 |
680 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
73 |
$5K |
| 99406 |
|
503 |
448 |
$5K |
| 90686 |
|
128 |
128 |
$4K |
| 93000 |
|
120 |
120 |
$3K |
| 99457 |
|
362 |
359 |
$1K |
| 90674 |
|
29 |
29 |
$698.77 |
| 99454 |
|
75 |
75 |
$664.64 |
| 99458 |
|
90 |
90 |
$489.00 |
| H0049 |
Alcohol and/or drug screening |
68 |
64 |
$264.00 |
| 99000 |
|
138 |
138 |
$94.46 |
| 96151 |
|
51 |
51 |
$57.68 |
| G0008 |
Administration of influenza virus vaccine |
58 |
58 |
$44.16 |
| 4004F |
|
2,073 |
2,060 |
$0.00 |
| 1159F |
|
2,817 |
2,717 |
$0.00 |
| 3078F |
|
2,027 |
2,002 |
$0.00 |
| 1160F |
|
2,531 |
2,434 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
843 |
795 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,773 |
1,728 |
$0.00 |
| 3725F |
|
219 |
217 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
14 |
$0.00 |
| 1036F |
|
2,269 |
2,253 |
$0.00 |
| 3074F |
|
2,125 |
2,093 |
$0.00 |
| 3044F |
|
1,007 |
992 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
425 |
401 |
$0.00 |
| 3079F |
|
167 |
165 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$0.00 |
| 3075F |
|
14 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
60 |
60 |
$0.00 |
| 4010F |
|
18 |
12 |
$0.00 |