| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,647 |
6,361 |
$42K |
| 90686 |
|
2,177 |
2,175 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
369 |
368 |
$26K |
| 90707 |
|
320 |
320 |
$21K |
| 90746 |
|
333 |
333 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,255 |
1,210 |
$17K |
| 90716 |
|
106 |
106 |
$11K |
| 90750 |
|
219 |
219 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
30 |
$4K |
| 92552 |
|
386 |
385 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
131 |
129 |
$3K |
| 90656 |
|
179 |
179 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,800 |
4,692 |
$1K |
| 90662 |
|
132 |
132 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
72 |
72 |
$902.29 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
65 |
65 |
$338.54 |
| 99490 |
Ccm add 20min |
22 |
22 |
$33.74 |
| G0008 |
Administration of influenza virus vaccine |
175 |
175 |
$27.49 |
| 0012A |
|
23 |
23 |
$16.67 |
| 81002 |
|
275 |
274 |
$9.08 |
| 1170F |
|
143 |
143 |
$0.00 |
| 1101F |
|
131 |
130 |
$0.00 |
| 1036F |
|
794 |
774 |
$0.00 |
| 3008F |
|
67 |
66 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
48 |
48 |
$0.00 |
| 3017F |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
223 |
223 |
$0.00 |
| 4010F |
|
12 |
12 |
$0.00 |
| 1126F |
|
68 |
68 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
94 |
94 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
624 |
606 |
$0.00 |
| 99173 |
|
327 |
325 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
130 |
128 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
99 |
99 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 1090F |
|
12 |
12 |
$0.00 |
| 90621 |
|
37 |
37 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
48 |
48 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39 |
36 |
$0.00 |