| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,708 |
5,560 |
$488K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,748 |
5,222 |
$325K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,532 |
1,532 |
$145K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,268 |
1,130 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
374 |
374 |
$32K |
| 93000 |
|
2,398 |
2,364 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,002 |
861 |
$8K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
319 |
314 |
$6K |
| 90674 |
|
252 |
249 |
$6K |
| 90756 |
|
215 |
215 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
435 |
434 |
$4K |
| 99442 |
|
34 |
34 |
$2K |
| 81002 |
|
792 |
760 |
$2K |
| 82272 |
|
1,194 |
1,173 |
$1K |
| 99441 |
|
28 |
26 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
868 |
763 |
$772.04 |
| 90686 |
|
31 |
31 |
$587.06 |
| 90661 |
|
21 |
19 |
$479.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$87.19 |
| 81025 |
|
12 |
12 |
$86.13 |
| 83014 |
|
65 |
65 |
$75.71 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
17 |
$24.30 |
| G0008 |
Administration of influenza virus vaccine |
27 |
26 |
$17.42 |
| 3074F |
|
65 |
65 |
$0.42 |
| 3078F |
|
60 |
60 |
$0.36 |
| 3079F |
|
12 |
12 |
$0.07 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
558 |
544 |
$0.00 |
| 1101F |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$0.00 |
| 99173 |
|
2,714 |
2,688 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
118 |
117 |
$0.00 |