| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,251 |
1,134 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
363 |
342 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
37 |
$747.16 |
| 90688 |
|
29 |
29 |
$230.84 |
| 99406 |
|
35 |
34 |
$202.76 |
| 96127 |
|
129 |
128 |
$196.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
17 |
$117.79 |
| 3008F |
|
407 |
386 |
$0.13 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
13 |
13 |
$0.10 |
| G9002 |
Coordinated care fee, maintenance rate |
13 |
13 |
$0.10 |
| 4450F |
|
120 |
119 |
$0.04 |
| 1220F |
|
70 |
70 |
$0.01 |
| 1000F |
|
213 |
205 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
174 |
172 |
$0.00 |
| 1036F |
|
54 |
50 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
14 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
69 |
67 |
$0.00 |
| 3016F |
|
185 |
176 |
$0.00 |
| 1158F |
|
16 |
15 |
$0.00 |
| G9458 |
Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user |
13 |
13 |
$0.00 |