| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,695 |
9,372 |
$669K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,790 |
9,523 |
$503K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
684 |
670 |
$58K |
| 99441 |
|
1,555 |
1,229 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
489 |
483 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
393 |
378 |
$27K |
| 99442 |
|
540 |
458 |
$24K |
| 99349 |
|
621 |
553 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
803 |
725 |
$15K |
| 99336 |
|
372 |
287 |
$10K |
| 96127 |
|
1,952 |
1,907 |
$8K |
| 93922 |
|
126 |
124 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
66 |
64 |
$3K |
| 90688 |
|
237 |
220 |
$3K |
| 81002 |
|
526 |
493 |
$1K |
| 93000 |
|
80 |
77 |
$942.70 |
| 90682 |
|
27 |
25 |
$775.04 |
| 99397 |
|
37 |
36 |
$560.38 |
| 81025 |
|
63 |
62 |
$413.38 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
148 |
141 |
$389.02 |
| 90686 |
|
51 |
39 |
$363.30 |
| 94010 |
|
15 |
14 |
$207.80 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
54 |
51 |
$147.57 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
109 |
103 |
$135.03 |
| 99490 |
Ccm add 20min |
27 |
27 |
$74.01 |
| G0008 |
Administration of influenza virus vaccine |
16 |
15 |
$15.59 |
| 99499 |
|
23 |
12 |
$0.03 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
365 |
341 |
$0.01 |
| 3074F |
|
525 |
467 |
$0.01 |
| 3078F |
|
386 |
337 |
$0.00 |
| 1160F |
|
14 |
12 |
$0.00 |
| 1159F |
|
14 |
12 |
$0.00 |
| 1111F |
|
456 |
390 |
$0.00 |
| 1036F |
|
263 |
248 |
$0.00 |
| 1170F |
|
150 |
116 |
$0.00 |
| 3079F |
|
55 |
50 |
$0.00 |