| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,049 |
3,818 |
$10K |
| 90674 |
|
221 |
210 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,217 |
1,168 |
$2K |
| 90661 |
|
20 |
20 |
$442.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
203 |
203 |
$342.86 |
| 94760 |
|
3,643 |
3,387 |
$205.89 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$170.96 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
157 |
157 |
$0.01 |
| 3074F |
|
222 |
214 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
163 |
158 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
72 |
72 |
$0.00 |
| 1220F |
|
12 |
12 |
$0.00 |
| 3078F |
|
209 |
203 |
$0.00 |
| 3725F |
|
143 |
143 |
$0.00 |
| 1160F |
|
27 |
26 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |