| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,807 |
2,733 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,173 |
2,057 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
675 |
670 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
183 |
180 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
680 |
680 |
$3K |
| 90686 |
|
133 |
133 |
$2K |
| 90674 |
|
230 |
229 |
$2K |
| 3079F |
|
1,178 |
1,123 |
$950.00 |
| 3074F |
|
1,050 |
987 |
$945.00 |
| 90756 |
|
194 |
194 |
$871.17 |
| 1170F |
|
2,309 |
2,154 |
$363.40 |
| 1159F |
|
2,291 |
2,158 |
$343.40 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
21 |
21 |
$342.67 |
| 1160F |
|
2,298 |
2,167 |
$279.22 |
| 99050 |
|
395 |
383 |
$260.40 |
| 90656 |
|
60 |
60 |
$220.80 |
| 3075F |
|
93 |
91 |
$157.50 |
| 81005 |
|
89 |
88 |
$128.90 |
| 1125F |
|
724 |
694 |
$96.70 |
| 3078F |
|
124 |
115 |
$92.50 |
| 36415 |
Collection of venous blood by venipuncture |
2,118 |
2,081 |
$81.16 |
| H0001 |
Alcohol and/or drug assessment |
964 |
964 |
$62.00 |
| 90630 |
|
90 |
90 |
$58.14 |
| 3077F |
|
28 |
28 |
$57.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
56 |
$56.20 |
| 3080F |
|
25 |
24 |
$45.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,631 |
2,499 |
$30.00 |
| G0008 |
Administration of influenza virus vaccine |
52 |
52 |
$26.46 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,144 |
2,983 |
$0.00 |
| 4145F |
|
27 |
27 |
$0.00 |
| 3008F |
|
3,222 |
3,044 |
$0.00 |
| 4010F |
|
648 |
640 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
103 |
99 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
12 |
12 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
30 |
30 |
$0.00 |
| 2000F |
|
23 |
22 |
$0.00 |