| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,978 |
5,691 |
$401K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,940 |
3,373 |
$200K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
107 |
107 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
99 |
99 |
$13K |
| 99497 |
|
321 |
316 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
57 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
822 |
797 |
$5K |
| 93000 |
|
337 |
335 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 96127 |
|
1,058 |
1,054 |
$1K |
| 90674 |
|
52 |
52 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
975 |
736 |
$960.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
19 |
$411.87 |
| 99397 |
|
114 |
114 |
$273.57 |
| 36415 |
Collection of venous blood by venipuncture |
350 |
343 |
$133.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
30 |
$118.60 |
| 90661 |
|
63 |
63 |
$110.55 |
| 90653 |
|
89 |
89 |
$104.30 |
| 3078F |
|
1,002 |
606 |
$67.50 |
| 3074F |
|
768 |
482 |
$37.50 |
| 3075F |
|
288 |
229 |
$35.00 |
| 90688 |
|
13 |
13 |
$22.55 |
| 90679 |
|
45 |
45 |
$0.02 |
| 99080 |
|
518 |
64 |
$0.00 |
| 1100F |
|
61 |
61 |
$0.00 |
| 3077F |
|
241 |
182 |
$0.00 |
| 3725F |
|
769 |
562 |
$0.00 |
| 1159F |
|
99 |
93 |
$0.00 |
| 3288F |
|
27 |
27 |
$0.00 |
| 1160F |
|
101 |
95 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,163 |
731 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
40 |
40 |
$0.00 |
| 1124F |
|
25 |
25 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,337 |
810 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
89 |
89 |
$0.00 |
| 1170F |
|
87 |
83 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
133 |
133 |
$0.00 |
| 1000F |
|
74 |
69 |
$0.00 |
| 99429 |
|
146 |
112 |
$0.00 |
| 3017F |
|
55 |
55 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
100 |
97 |
$0.00 |
| 1157F |
|
25 |
24 |
$0.00 |
| 3079F |
|
226 |
178 |
$0.00 |
| 3014F |
|
32 |
32 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 3049F |
|
28 |
28 |
$0.00 |
| 1123F |
|
27 |
26 |
$0.00 |
| 1036F |
|
74 |
69 |
$0.00 |
| 1125F |
|
67 |
65 |
$0.00 |
| 3044F |
|
33 |
25 |
$0.00 |