| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,783 |
6,244 |
$335K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,665 |
3,421 |
$253K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
428 |
386 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
113 |
113 |
$11K |
| 96127 |
|
5,286 |
4,863 |
$10K |
| 99406 |
|
1,098 |
1,036 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 90756 |
|
72 |
70 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
288 |
265 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
157 |
153 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$964.68 |
| 90686 |
|
77 |
77 |
$879.18 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$864.90 |
| 90658 |
|
45 |
44 |
$680.95 |
| 99497 |
|
89 |
84 |
$446.67 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
77 |
70 |
$360.11 |
| 82947 |
|
105 |
96 |
$203.96 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$48.39 |
| 3079F |
|
2,176 |
2,043 |
$0.01 |
| 3078F |
|
2,809 |
2,608 |
$0.01 |
| 3074F |
|
3,135 |
2,927 |
$0.00 |
| 3075F |
|
1,639 |
1,543 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,031 |
2,868 |
$0.00 |
| 3080F |
|
267 |
249 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
846 |
781 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
53 |
48 |
$0.00 |
| 1101F |
|
40 |
33 |
$0.00 |
| 2000F |
|
26 |
26 |
$0.00 |
| 3077F |
|
518 |
479 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
846 |
781 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
292 |
267 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,164 |
1,076 |
$0.00 |