| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,125 |
18,227 |
$878K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
26,833 |
23,939 |
$868K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,031 |
6,928 |
$406K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
586 |
572 |
$55K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
197 |
197 |
$20K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
392 |
286 |
$2K |
| 99406 |
|
158 |
146 |
$958.74 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
20 |
20 |
$461.25 |
| 99397 |
|
38 |
38 |
$176.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
58 |
$145.65 |
| 90756 |
|
66 |
53 |
$113.24 |
| 96127 |
|
26 |
26 |
$82.31 |
| 90674 |
|
116 |
95 |
$74.90 |
| G0008 |
Administration of influenza virus vaccine |
98 |
78 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
29 |
29 |
$0.00 |