| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,058 |
3,564 |
$9K |
| 93000 |
|
359 |
356 |
$4K |
| 90688 |
|
110 |
110 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
238 |
237 |
$1K |
| 92551 |
|
206 |
206 |
$780.18 |
| 90658 |
|
43 |
43 |
$260.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
36 |
36 |
$260.00 |
| 94760 |
|
1,597 |
1,432 |
$225.23 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
108 |
98 |
$195.00 |
| 90756 |
|
12 |
12 |
$150.00 |
| 86580 |
|
26 |
26 |
$80.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
250 |
242 |
$10.00 |
| 94761 |
|
44 |
43 |
$4.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
167 |
162 |
$0.01 |
| 3078F |
|
2,440 |
2,141 |
$0.00 |
| 1160F |
|
4,618 |
3,944 |
$0.00 |
| 1158F |
|
40 |
40 |
$0.00 |
| 1159F |
|
1,586 |
1,390 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
49 |
48 |
$0.00 |
| 3077F |
|
69 |
64 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
16 |
16 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
20 |
19 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 3074F |
|
2,260 |
1,981 |
$0.00 |
| 1036F |
|
1,635 |
1,408 |
$0.00 |
| 3008F |
|
4,187 |
3,627 |
$0.00 |
| 3079F |
|
148 |
142 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |