| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,683 |
10,552 |
$1.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,307 |
4,369 |
$455K |
| 99215 |
Prolong outpt/office vis |
302 |
285 |
$54K |
| 96160 |
|
5,490 |
4,602 |
$46K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
314 |
301 |
$36K |
| 93000 |
|
2,179 |
2,020 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
218 |
212 |
$27K |
| 99205 |
Prolong outpt/office vis |
68 |
67 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
89 |
81 |
$14K |
| 99442 |
|
521 |
400 |
$13K |
| 99443 |
|
362 |
261 |
$12K |
| 96127 |
|
1,718 |
1,609 |
$8K |
| 81003 |
|
1,825 |
1,700 |
$3K |
| 99454 |
|
76 |
76 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
39 |
39 |
$2K |
| 90686 |
|
101 |
93 |
$2K |
| 99385 |
|
13 |
12 |
$2K |
| 90674 |
|
53 |
51 |
$1K |
| 3044F |
|
431 |
399 |
$1K |
| 3074F |
|
556 |
508 |
$790.00 |
| 81000 |
|
259 |
198 |
$544.00 |
| 0031A |
|
13 |
12 |
$440.00 |
| 90715 |
|
13 |
12 |
$397.76 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$383.76 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
53 |
53 |
$363.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
33 |
$139.68 |
| 3075F |
|
58 |
55 |
$115.00 |
| 3077F |
|
151 |
144 |
$100.00 |
| 94760 |
|
19 |
15 |
$26.00 |
| 3078F |
|
393 |
365 |
$0.00 |
| 99490 |
Ccm add 20min |
161 |
161 |
$0.00 |
| 3079F |
|
199 |
185 |
$0.00 |
| 36410 |
|
444 |
419 |
$0.00 |
| 3351F |
|
238 |
227 |
$0.00 |
| 3353F |
|
114 |
107 |
$0.00 |
| 3080F |
|
136 |
127 |
$0.00 |
| 99457 |
|
76 |
76 |
$0.00 |