| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,309 |
3,647 |
$125K |
| 99215 |
Prolong outpt/office vis |
555 |
400 |
$20K |
| 99497 |
|
213 |
188 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
279 |
225 |
$2K |
| 90688 |
|
176 |
163 |
$1K |
| 96127 |
|
430 |
377 |
$693.58 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
158 |
139 |
$673.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
56 |
$325.46 |
| 99406 |
|
43 |
41 |
$284.17 |
| 1160F |
|
347 |
280 |
$234.54 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
53 |
51 |
$211.59 |
| 1170F |
|
308 |
247 |
$185.31 |
| 3074F |
|
237 |
191 |
$110.02 |
| 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) |
41 |
31 |
$69.30 |
| G0008 |
Administration of influenza virus vaccine |
66 |
65 |
$51.45 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
145 |
136 |
$33.00 |
| 93923 |
|
16 |
16 |
$29.10 |
| 96160 |
|
151 |
103 |
$22.14 |
| 3078F |
|
406 |
331 |
$0.05 |
| 1159F |
|
352 |
285 |
$0.02 |
| 3008F |
|
1,173 |
984 |
$0.02 |
| 3079F |
|
15 |
13 |
$0.01 |
| 1111F |
|
30 |
27 |
$0.01 |
| 1158F |
|
317 |
255 |
$0.00 |
| 3725F |
|
287 |
266 |
$0.00 |
| 3288F |
|
122 |
90 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
389 |
323 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
287 |
249 |
$0.00 |
| 3075F |
|
52 |
49 |
$0.00 |
| 2000F |
|
87 |
70 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
390 |
328 |
$0.00 |
| 1101F |
|
181 |
143 |
$0.00 |
| 1125F |
|
113 |
96 |
$0.00 |
| 1126F |
|
57 |
47 |
$0.00 |
| 3017F |
|
70 |
52 |
$0.00 |
| 1036F |
|
48 |
45 |
$0.00 |