| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
6,184 |
4,370 |
$127K |
| 99213 |
|
4,241 |
3,135 |
$61K |
| 93010 |
|
1,316 |
1,084 |
$6K |
| 92548 |
|
204 |
166 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
183 |
105 |
$2K |
| 90686 |
|
177 |
135 |
$1K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
35 |
17 |
$1K |
| 99215 |
Prolong outpt/office vis |
29 |
27 |
$1K |
| 36415 |
|
1,999 |
1,493 |
$988.60 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
579 |
296 |
$945.05 |
| G0008 |
Administration of influenza virus vaccine |
427 |
352 |
$806.79 |
| 3078F |
|
1,562 |
990 |
$550.00 |
| 3074F |
|
1,370 |
886 |
$340.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
269 |
140 |
$120.08 |
| 3075F |
|
329 |
240 |
$120.00 |
| 3079F |
|
203 |
142 |
$110.00 |
| 99406 |
|
32 |
14 |
$61.06 |
| 90662 |
|
66 |
58 |
$0.00 |
| 3288F |
|
458 |
294 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
132 |
122 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
132 |
122 |
$0.00 |
| 3044F |
|
145 |
118 |
$0.00 |
| 1123F |
|
351 |
209 |
$0.00 |
| 1170F |
|
147 |
90 |
$0.00 |
| 1101F |
|
52 |
44 |
$0.00 |