| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,675 |
2,469 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
514 |
478 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
182 |
172 |
$1K |
| 90658 |
|
143 |
143 |
$820.75 |
| 90756 |
|
68 |
68 |
$810.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
81 |
80 |
$550.00 |
| 90688 |
|
47 |
47 |
$410.00 |
| 99215 |
Prolong outpt/office vis |
126 |
125 |
$156.48 |
| 3008F |
|
760 |
758 |
$82.50 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
95 |
95 |
$52.50 |
| G0008 |
Administration of influenza virus vaccine |
87 |
87 |
$50.50 |
| 3044F |
|
186 |
186 |
$45.00 |
| 93000 |
|
12 |
12 |
$30.00 |
| 3061F |
|
165 |
165 |
$30.00 |
| 3074F |
|
136 |
135 |
$30.00 |
| 1036F |
|
205 |
205 |
$22.50 |
| 3078F |
|
127 |
126 |
$22.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
531 |
528 |
$18.09 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
12 |
12 |
$6.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
40 |
40 |
$6.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
28 |
28 |
$3.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
243 |
243 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
245 |
245 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
47 |
47 |
$0.00 |
| 99421 |
|
15 |
14 |
$0.00 |
| 4004F |
|
14 |
14 |
$0.00 |
| 3725F |
|
19 |
19 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$0.00 |