| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,967 |
5,397 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,608 |
3,792 |
$76K |
| 95923 |
|
41 |
39 |
$2K |
| 95943 |
|
42 |
39 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
558 |
310 |
$2K |
| 90674 |
|
86 |
75 |
$1K |
| 90686 |
|
195 |
140 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
249 |
194 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
365 |
180 |
$755.84 |
| 90662 |
|
86 |
78 |
$563.11 |
| 90694 |
|
50 |
44 |
$279.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$109.93 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$99.17 |
| G0406 |
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
432 |
299 |
$74.20 |
| G0008 |
Administration of influenza virus vaccine |
171 |
126 |
$58.34 |
| 96127 |
|
29 |
25 |
$16.64 |
| 36416 |
|
410 |
184 |
$0.96 |
| 3079F |
|
147 |
122 |
$0.00 |
| 1157F |
|
260 |
182 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
249 |
98 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
403 |
316 |
$0.00 |
| 1170F |
|
658 |
415 |
$0.00 |
| 3074F |
|
171 |
135 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
52 |
41 |
$0.00 |
| 1126F |
|
438 |
268 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
128 |
114 |
$0.00 |
| 3075F |
|
225 |
168 |
$0.00 |
| 1036F |
|
297 |
165 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
46 |
16 |
$0.00 |
| 1159F |
|
629 |
394 |
$0.00 |
| 3288F |
|
178 |
95 |
$0.00 |
| 1160F |
|
652 |
400 |
$0.00 |
| 3078F |
|
416 |
289 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
215 |
85 |
$0.00 |
| 1158F |
|
333 |
243 |
$0.00 |
| G0407 |
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth |
42 |
27 |
$0.00 |
| 99072 |
|
18 |
13 |
$0.00 |
| 3725F |
|
42 |
18 |
$0.00 |