| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,443 |
6,007 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
386 |
384 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
580 |
578 |
$8K |
| 90686 |
|
362 |
362 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,530 |
8,973 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,216 |
2,211 |
$2K |
| 90688 |
|
69 |
69 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
184 |
182 |
$740.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
71 |
28 |
$732.93 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
405 |
405 |
$720.30 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
109 |
41 |
$624.72 |
| 99386 |
|
489 |
486 |
$54.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
81 |
81 |
$0.13 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
182 |
182 |
$0.08 |
| 3078F |
|
1,006 |
997 |
$0.00 |
| 4004F |
|
268 |
267 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
94 |
94 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
82 |
$0.00 |
| 3077F |
|
31 |
31 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14 |
14 |
$0.00 |
| 99442 |
|
13 |
13 |
$0.00 |
| 3017F |
|
729 |
729 |
$0.00 |
| 3079F |
|
805 |
802 |
$0.00 |
| 3075F |
|
608 |
606 |
$0.00 |
| 3074F |
|
1,157 |
1,144 |
$0.00 |
| 4010F |
|
1,621 |
1,593 |
$0.00 |
| 1101F |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
74 |
74 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
43 |
43 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
284 |
280 |
$0.00 |
| 99385 |
|
61 |
60 |
$0.00 |
| 3008F |
|
161 |
161 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
25 |
25 |
$0.00 |
| 3014F |
|
112 |
112 |
$0.00 |
| 3080F |
|
27 |
27 |
$0.00 |
| 3044F |
|
14 |
14 |
$0.00 |
| 1036F |
|
34 |
34 |
$0.00 |
| 1125F |
|
51 |
50 |
$0.00 |
| 1126F |
|
14 |
14 |
$0.00 |