| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,825 |
4,067 |
$206K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,265 |
2,819 |
$191K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
185 |
169 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
27 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
84 |
66 |
$2K |
| 90682 |
|
47 |
46 |
$1K |
| 96160 |
|
152 |
137 |
$378.00 |
| 93000 |
|
32 |
29 |
$318.99 |
| 99497 |
|
18 |
12 |
$315.06 |
| 81000 |
|
105 |
93 |
$241.45 |
| 90688 |
|
12 |
12 |
$150.51 |
| 82962 |
|
54 |
46 |
$61.67 |
| 99173 |
|
14 |
13 |
$12.97 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
45 |
34 |
$9.09 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
17 |
12 |
$3.03 |
| 3079F |
|
963 |
793 |
$0.03 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
793 |
646 |
$0.02 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
790 |
620 |
$0.01 |
| 3075F |
|
397 |
332 |
$0.01 |
| 3074F |
|
1,162 |
928 |
$0.01 |
| 3078F |
|
672 |
558 |
$0.00 |
| 3077F |
|
130 |
116 |
$0.00 |
| 3080F |
|
14 |
12 |
$0.00 |