| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99336 |
|
4,847 |
2,978 |
$121K |
| 99337 |
|
699 |
590 |
$27K |
| 99349 |
|
684 |
634 |
$26K |
| 99335 |
|
391 |
314 |
$7K |
| 99490 |
Ccm add 20min |
967 |
967 |
$2K |
| 90756 |
|
223 |
223 |
$1K |
| 99334 |
|
55 |
51 |
$540.85 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
44 |
$455.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
42 |
$381.72 |
| 99401 |
|
1,675 |
1,006 |
$353.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
27 |
$304.10 |
| 3078F |
|
307 |
287 |
$47.50 |
| 3074F |
|
237 |
217 |
$32.50 |
| 3077F |
|
138 |
128 |
$30.00 |
| 1160F |
|
372 |
347 |
$30.00 |
| 1159F |
|
266 |
249 |
$25.00 |
| 3079F |
|
83 |
80 |
$20.00 |
| 1170F |
|
150 |
149 |
$15.00 |
| 3080F |
|
39 |
39 |
$10.00 |
| 3075F |
|
51 |
51 |
$10.00 |
| 1125F |
|
288 |
258 |
$10.00 |
| 1126F |
|
2,313 |
1,510 |
$10.00 |
| 99072 |
|
45 |
41 |
$7.64 |
| 94760 |
|
1,365 |
807 |
$5.86 |
| 3028F |
|
137 |
74 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
162 |
162 |
$0.00 |
| 2010F |
|
19 |
12 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
47 |
44 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
21 |
20 |
$0.00 |