| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,090 |
5,859 |
$339K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,438 |
5,017 |
$333K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
685 |
680 |
$57K |
| 98960 |
|
3,594 |
3,459 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
173 |
173 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
123 |
122 |
$9K |
| 99490 |
Ccm add 20min |
2,249 |
2,171 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
585 |
584 |
$8K |
| 90682 |
|
212 |
208 |
$6K |
| 90686 |
|
343 |
343 |
$6K |
| 96127 |
|
2,821 |
2,761 |
$6K |
| 93000 |
|
454 |
453 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
383 |
184 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 99397 |
|
41 |
38 |
$1K |
| 90673 |
|
47 |
40 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
18 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
166 |
115 |
$1K |
| 3008F |
|
68 |
68 |
$530.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
98 |
89 |
$445.59 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
164 |
115 |
$286.61 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36 |
36 |
$245.75 |
| G0008 |
Administration of influenza virus vaccine |
42 |
41 |
$98.10 |
| 99406 |
|
13 |
13 |
$94.83 |
| 99173 |
|
41 |
41 |
$86.64 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
53 |
51 |
$76.36 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,214 |
1,148 |
$1.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
12 |
12 |
$0.00 |