| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,693 |
5,622 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,194 |
1,766 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
68 |
57 |
$4K |
| 93000 |
|
1,078 |
859 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
4,625 |
3,792 |
$3K |
| 90688 |
|
776 |
625 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,178 |
958 |
$2K |
| 99386 |
|
17 |
12 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,261 |
1,132 |
$806.83 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
13 |
$583.28 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
22 |
14 |
$412.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
175 |
134 |
$276.78 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
132 |
107 |
$264.61 |
| G0008 |
Administration of influenza virus vaccine |
665 |
500 |
$170.95 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
100 |
73 |
$157.72 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
13 |
$8.75 |
| 82962 |
|
115 |
79 |
$7.37 |
| 90686 |
|
23 |
14 |
$2.83 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,346 |
1,097 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,346 |
1,110 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,303 |
1,725 |
$0.00 |
| 3017F |
|
1,434 |
1,181 |
$0.00 |
| 1036F |
|
1,554 |
1,286 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
501 |
418 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
287 |
256 |
$0.00 |
| 1000F |
|
270 |
231 |
$0.00 |
| 3044F |
|
82 |
78 |
$0.00 |
| 1101F |
|
56 |
53 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
22 |
15 |
$0.00 |
| 3288F |
|
1,435 |
1,180 |
$0.00 |
| 3725F |
|
1,034 |
859 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
412 |
301 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,898 |
1,416 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
211 |
174 |
$0.00 |
| 1100F |
|
14 |
12 |
$0.00 |