| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,470 |
3,208 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,270 |
2,167 |
$33K |
| 90688 |
|
505 |
505 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
341 |
340 |
$7K |
| 90750 |
|
55 |
55 |
$6K |
| 99429 |
|
181 |
181 |
$4K |
| 99215 |
Prolong outpt/office vis |
214 |
208 |
$4K |
| H0049 |
Alcohol and/or drug screening |
96 |
96 |
$2K |
| 3725F |
|
287 |
287 |
$1K |
| 90662 |
|
150 |
150 |
$1K |
| 3079F |
|
37 |
37 |
$1K |
| 3044F |
|
23 |
23 |
$1K |
| 3078F |
|
32 |
32 |
$1K |
| 3075F |
|
32 |
32 |
$1K |
| 4010F |
|
56 |
56 |
$1K |
| 3074F |
|
27 |
27 |
$945.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
30 |
30 |
$870.00 |
| 3045F |
|
18 |
18 |
$850.00 |
| 3061F |
|
28 |
28 |
$690.00 |
| 2022F |
|
22 |
22 |
$600.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
329 |
327 |
$539.92 |
| 3066F |
|
19 |
19 |
$510.00 |
| 3060F |
|
15 |
15 |
$360.00 |
| 3077F |
|
15 |
15 |
$225.00 |
| 3072F |
|
12 |
12 |
$210.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$127.82 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$126.57 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
100 |
99 |
$101.50 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
187 |
187 |
$0.00 |