| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,311 |
4,946 |
$179K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,257 |
1,249 |
$46K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
48 |
48 |
$12K |
| 90674 |
|
235 |
235 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
227 |
227 |
$2K |
| 96127 |
|
53 |
53 |
$420.64 |
| 90653 |
|
32 |
32 |
$400.00 |
| 90694 |
|
45 |
45 |
$375.46 |
| 99442 |
|
13 |
13 |
$31.23 |
| G0008 |
Administration of influenza virus vaccine |
70 |
70 |
$18.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
142 |
140 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
109 |
107 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
24 |
24 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
63 |
61 |
$0.00 |
| 1123F |
|
104 |
104 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
55 |
55 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
22 |
22 |
$0.00 |