| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,521 |
7,810 |
$219K |
| 99310 |
Prolong nursin fac eval 15m |
441 |
121 |
$12K |
| 90688 |
|
316 |
316 |
$7K |
| 2022F |
|
1,087 |
868 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
911 |
820 |
$4K |
| 3008F |
|
3,211 |
2,950 |
$4K |
| 99429 |
|
327 |
307 |
$3K |
| 90674 |
|
142 |
141 |
$3K |
| 3044F |
|
500 |
450 |
$3K |
| 3017F |
|
1,111 |
835 |
$3K |
| 3061F |
|
773 |
617 |
$2K |
| 3072F |
|
453 |
405 |
$2K |
| 90694 |
|
327 |
325 |
$1K |
| 3074F |
|
1,792 |
1,624 |
$1K |
| 3079F |
|
1,382 |
1,281 |
$1K |
| 3060F |
|
468 |
361 |
$1K |
| 3078F |
|
1,632 |
1,485 |
$936.25 |
| 3075F |
|
616 |
570 |
$910.00 |
| 1124F |
|
272 |
252 |
$855.00 |
| 90653 |
|
231 |
231 |
$584.43 |
| 3066F |
|
413 |
336 |
$570.00 |
| 3014F |
|
827 |
736 |
$450.00 |
| 3077F |
|
745 |
667 |
$360.00 |
| 1160F |
|
2,987 |
2,732 |
$330.01 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,158 |
1,135 |
$279.70 |
| 1170F |
|
476 |
421 |
$270.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$210.98 |
| 3045F |
|
39 |
37 |
$200.00 |
| 1126F |
|
236 |
224 |
$160.00 |
| 3080F |
|
76 |
62 |
$60.00 |
| 1125F |
|
129 |
119 |
$40.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$12.45 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
31 |
30 |
$0.05 |
| 1159F |
|
2,951 |
2,703 |
$0.00 |
| 4040F |
|
87 |
82 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
81 |
79 |
$0.00 |
| 3048F |
|
2,131 |
1,924 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
764 |
762 |
$0.00 |
| 4010F |
|
32 |
29 |
$0.00 |
| 3049F |
|
26 |
26 |
$0.00 |