| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,772 |
3,124 |
$296K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,435 |
2,867 |
$210K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
890 |
854 |
$112K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
342 |
315 |
$38K |
| 99215 |
Prolong outpt/office vis |
168 |
139 |
$15K |
| 93000 |
|
1,226 |
1,101 |
$15K |
| 96127 |
|
258 |
229 |
$5K |
| 99408 |
|
148 |
137 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
30 |
$3K |
| 90674 |
|
56 |
51 |
$1K |
| 82947 |
|
102 |
93 |
$161.25 |
| 99406 |
|
13 |
13 |
$141.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
50 |
$26.28 |
| 3008F |
|
1,483 |
1,343 |
$0.00 |
| 3074F |
|
64 |
56 |
$0.00 |
| 1111F |
|
89 |
86 |
$0.00 |
| 3288F |
|
135 |
116 |
$0.00 |
| 1160F |
|
1,589 |
1,397 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
82 |
76 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
69 |
65 |
$0.00 |