| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,389 |
6,189 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,380 |
7,071 |
$84K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
809 |
807 |
$12K |
| 99429 |
|
132 |
131 |
$3K |
| 99386 |
|
147 |
147 |
$3K |
| 90688 |
|
112 |
111 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
150 |
149 |
$2K |
| 99215 |
Prolong outpt/office vis |
106 |
103 |
$2K |
| 99385 |
|
124 |
124 |
$2K |
| 90662 |
|
113 |
113 |
$1K |
| 3725F |
|
104 |
103 |
$520.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$438.12 |
| 93000 |
|
49 |
49 |
$317.56 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
130 |
130 |
$230.83 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$200.55 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
25 |
$94.36 |
| 3008F |
|
161 |
160 |
$25.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$8.30 |
| 3074F |
|
295 |
285 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
119 |
118 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
33 |
32 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
364 |
364 |
$0.00 |
| 3075F |
|
120 |
118 |
$0.00 |
| 3079F |
|
70 |
68 |
$0.00 |
| 3078F |
|
538 |
517 |
$0.00 |
| 1159F |
|
82 |
82 |
$0.00 |
| 3077F |
|
271 |
257 |
$0.00 |
| 3016F |
|
12 |
12 |
$0.00 |
| 1160F |
|
82 |
82 |
$0.00 |