| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,364 |
5,882 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,475 |
1,287 |
$40K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
276 |
223 |
$920.08 |
| G0008 |
Administration of influenza virus vaccine |
249 |
213 |
$265.52 |
| 90653 |
|
137 |
100 |
$137.62 |
| S9999 |
Sales tax |
527 |
403 |
$103.07 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
178 |
171 |
$75.79 |
| 3078F |
|
273 |
214 |
$0.00 |
| 1159F |
|
60 |
45 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
14 |
$0.00 |
| 1160F |
|
22 |
21 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
79 |
71 |
$0.00 |
| 1157F |
|
253 |
210 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
433 |
340 |
$0.00 |
| 3074F |
|
181 |
149 |
$0.00 |
| 3075F |
|
19 |
12 |
$0.00 |
| 3079F |
|
32 |
25 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$0.00 |