| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,167 |
3,868 |
$239K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,476 |
1,340 |
$57K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
256 |
237 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
326 |
304 |
$5K |
| 90686 |
|
208 |
170 |
$2K |
| 99397 |
|
50 |
46 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 90688 |
|
157 |
139 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
24 |
$547.26 |
| 99401 |
|
18 |
14 |
$142.94 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
27 |
$109.20 |
| 96127 |
|
13 |
13 |
$59.11 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
15 |
15 |
$20.41 |
| 1125F |
|
56 |
30 |
$18.66 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
85 |
79 |
$15.89 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$1.57 |
| 99499 |
|
35 |
35 |
$0.08 |
| 1160F |
|
124 |
74 |
$0.00 |
| 2028F |
|
86 |
75 |
$0.00 |
| 3078F |
|
40 |
29 |
$0.00 |
| 1159F |
|
122 |
72 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
24 |
14 |
$0.00 |
| 1170F |
|
109 |
61 |
$0.00 |
| 3079F |
|
21 |
15 |
$0.00 |
| 1101F |
|
181 |
125 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
40 |
26 |
$0.00 |
| 3074F |
|
57 |
41 |
$0.00 |