| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,063 |
5,912 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,226 |
5,891 |
$76K |
| 99215 |
Prolong outpt/office vis |
1,850 |
1,814 |
$45K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,134 |
1,130 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
475 |
471 |
$5K |
| 99429 |
|
275 |
274 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
543 |
543 |
$2K |
| 90688 |
|
63 |
63 |
$1K |
| 90662 |
|
300 |
299 |
$1K |
| 3725F |
|
242 |
242 |
$717.50 |
| 96127 |
|
84 |
84 |
$489.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
183 |
167 |
$463.31 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$329.68 |
| 99385 |
|
15 |
15 |
$242.78 |
| 93000 |
|
24 |
24 |
$57.27 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
385 |
385 |
$35.89 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,486 |
1,486 |
$6.14 |
| 3008F |
|
683 |
676 |
$0.00 |
| 1170F |
|
125 |
125 |
$0.00 |
| 3048F |
|
233 |
233 |
$0.00 |
| 3074F |
|
265 |
261 |
$0.00 |
| 3075F |
|
113 |
113 |
$0.00 |
| 3079F |
|
185 |
185 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
290 |
289 |
$0.00 |
| 3080F |
|
44 |
42 |
$0.00 |
| 99386 |
|
25 |
25 |
$0.00 |
| 1159F |
|
486 |
486 |
$0.00 |
| 3078F |
|
830 |
814 |
$0.00 |
| 3077F |
|
575 |
560 |
$0.00 |
| 1160F |
|
516 |
516 |
$0.00 |
| 3016F |
|
15 |
15 |
$0.00 |