| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,513 |
1,487 |
$8K |
| 90688 |
|
115 |
115 |
$2K |
| 99497 |
|
26 |
26 |
$385.04 |
| 90658 |
|
21 |
21 |
$336.63 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
88 |
$270.60 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
69 |
68 |
$136.34 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$78.85 |
| 3078F |
|
882 |
837 |
$17.32 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,092 |
1,067 |
$1.66 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
383 |
376 |
$0.01 |
| 3288F |
|
1,396 |
1,367 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
195 |
194 |
$0.00 |
| 1090F |
|
1,358 |
1,331 |
$0.00 |
| 4004F |
|
458 |
374 |
$0.00 |
| 1160F |
|
1,649 |
1,577 |
$0.00 |
| G8942 |
Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment |
340 |
326 |
$0.00 |
| G9920 |
Screening performed and negative |
308 |
308 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
62 |
$0.00 |
| 0521F |
|
807 |
788 |
$0.00 |
| 1158F |
|
1,392 |
1,364 |
$0.00 |
| 3725F |
|
1,472 |
1,429 |
$0.00 |
| 0518F |
|
149 |
141 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
346 |
331 |
$0.00 |
| 3077F |
|
73 |
73 |
$0.00 |
| 1159F |
|
1,623 |
1,551 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$0.00 |
| 1091F |
|
17 |
16 |
$0.00 |
| 1101F |
|
1,382 |
1,354 |
$0.00 |
| 3074F |
|
958 |
913 |
$0.00 |
| 1123F |
|
455 |
433 |
$0.00 |
| 1170F |
|
1,587 |
1,521 |
$0.00 |
| 2023F |
|
234 |
228 |
$0.00 |
| 1126F |
|
797 |
784 |
$0.00 |
| 3014F |
|
505 |
497 |
$0.00 |
| 3079F |
|
597 |
591 |
$0.00 |
| 3075F |
|
412 |
406 |
$0.00 |
| 3044F |
|
1,195 |
1,141 |
$0.00 |
| 3008F |
|
1,502 |
1,450 |
$0.00 |
| 1125F |
|
611 |
599 |
$0.00 |
| 3017F |
|
90 |
89 |
$0.00 |
| 1034F |
|
184 |
181 |
$0.00 |
| 1157F |
|
117 |
115 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 3072F |
|
70 |
69 |
$0.00 |
| 1036F |
|
2,060 |
1,953 |
$0.00 |
| 99407 |
|
189 |
121 |
$0.00 |
| 4144F |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
39 |
39 |
$0.00 |
| 3061F |
|
79 |
73 |
$0.00 |
| 4140F |
|
12 |
12 |
$0.00 |
| 1111F |
|
43 |
43 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
87 |
87 |
$0.00 |
| 1038F |
|
28 |
26 |
$0.00 |