| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,651 |
1,628 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,001 |
991 |
$2K |
| 90686 |
|
154 |
153 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
237 |
235 |
$462.31 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
50 |
49 |
$252.45 |
| 90656 |
|
12 |
12 |
$47.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
147 |
145 |
$31.94 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
427 |
424 |
$4.00 |
| 3008F |
|
2,333 |
2,291 |
$2.70 |
| 3044F |
|
363 |
360 |
$0.00 |
| 3074F |
|
425 |
419 |
$0.00 |
| 1036F |
|
742 |
739 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 3061F |
|
25 |
25 |
$0.00 |
| 1000F |
|
172 |
170 |
$0.00 |
| 99408 |
|
696 |
695 |
$0.00 |
| 3078F |
|
554 |
545 |
$0.00 |
| 96160 |
|
105 |
105 |
$0.00 |
| 82947 |
|
42 |
41 |
$0.00 |
| 99442 |
|
16 |
16 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
60 |
60 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$0.00 |