| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
369 |
341 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
325 |
311 |
$10K |
| 99051 |
|
125 |
116 |
$763.56 |
| 99442 |
|
19 |
18 |
$233.87 |
| 93000 |
|
14 |
14 |
$83.52 |
| 96127 |
|
16 |
16 |
$53.54 |
| 90658 |
|
17 |
17 |
$21.86 |
| G0008 |
Administration of influenza virus vaccine |
42 |
42 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
52 |
52 |
$0.00 |
| 3008F |
|
247 |
230 |
$0.00 |
| 3074F |
|
204 |
193 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
88 |
88 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
29 |
28 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
123 |
120 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
33 |
32 |
$0.00 |
| 3079F |
|
19 |
19 |
$0.00 |
| 3075F |
|
57 |
56 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$0.00 |
| 1159F |
|
518 |
473 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
113 |
110 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 90661 |
|
21 |
21 |
$0.00 |
| 1160F |
|
16 |
16 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
34 |
34 |
$0.00 |
| 3078F |
|
266 |
247 |
$0.00 |
| 99397 |
|
12 |
12 |
$0.00 |