| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,788 |
3,875 |
$72K |
| 99490 |
Ccm add 20min |
4,746 |
4,744 |
$57K |
| 99454 |
|
1,391 |
1,389 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,640 |
1,074 |
$15K |
| 99457 |
|
1,616 |
1,614 |
$10K |
| G0008 |
Administration of influenza virus vaccine |
233 |
231 |
$6K |
| 99497 |
|
31 |
31 |
$1K |
| 99439 |
|
1,000 |
1,000 |
$622.92 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
31 |
31 |
$619.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$500.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
271 |
176 |
$170.26 |
| 90694 |
|
135 |
134 |
$68.53 |
| 36415 |
Collection of venous blood by venipuncture |
194 |
178 |
$11.43 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
61 |
61 |
$3.82 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
28 |
28 |
$2.04 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
27 |
27 |
$1.58 |
| 90662 |
|
52 |
52 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 99397 |
|
29 |
29 |
$0.00 |
| 90653 |
|
27 |
27 |
$0.00 |
| 99453 |
|
13 |
13 |
$0.00 |
| 3078F |
|
17 |
17 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
15 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27 |
27 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |