| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,692 |
3,074 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,263 |
1,981 |
$45K |
| 99441 |
|
254 |
215 |
$4K |
| 99442 |
|
85 |
72 |
$1K |
| 90756 |
|
106 |
101 |
$525.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
61 |
$474.79 |
| 90661 |
|
15 |
15 |
$234.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
25 |
$222.40 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
112 |
108 |
$173.11 |
| 90688 |
|
32 |
32 |
$50.40 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
51 |
47 |
$26.98 |
| 3288F |
|
146 |
125 |
$0.00 |
| 1090F |
|
82 |
77 |
$0.00 |
| 3725F |
|
116 |
101 |
$0.00 |
| 99080 |
|
836 |
600 |
$0.00 |
| 99490 |
Ccm add 20min |
13 |
13 |
$0.00 |
| G8599 |
Aspirin or another antiplatelet therapy not used, reason not given |
68 |
63 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
104 |
93 |
$0.00 |
| 1126F |
|
26 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
114 |
96 |
$0.00 |
| 1101F |
|
144 |
123 |
$0.00 |
| 1170F |
|
96 |
90 |
$0.00 |