| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,205 |
1,054 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,867 |
1,545 |
$17K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
14 |
$525.76 |
| 90756 |
|
35 |
35 |
$77.25 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
52 |
$37.50 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$20.00 |
| 1036F |
|
35 |
34 |
$0.10 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
14 |
$0.00 |
| 3008F |
|
17 |
17 |
$0.00 |
| 1101F |
|
16 |
16 |
$0.00 |
| 3725F |
|
17 |
17 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
14 |
14 |
$0.00 |
| 4040F |
|
12 |
12 |
$0.00 |