| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,765 |
4,299 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,621 |
20,894 |
$68K |
| 90756 |
|
331 |
328 |
$4K |
| 90658 |
|
375 |
375 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
962 |
945 |
$3K |
| 90674 |
|
338 |
335 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,427 |
1,422 |
$2K |
| 99497 |
|
114 |
108 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$587.69 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
54 |
$323.19 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
93 |
92 |
$158.94 |
| 99397 |
|
56 |
56 |
$125.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
86 |
$101.87 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,902 |
2,853 |
$30.00 |
| G0008 |
Administration of influenza virus vaccine |
195 |
194 |
$30.00 |
| 3008F |
|
353 |
348 |
$15.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
41 |
$1.35 |
| 1090F |
|
321 |
316 |
$0.00 |
| 3078F |
|
320 |
315 |
$0.00 |
| 1158F |
|
333 |
328 |
$0.00 |
| 1159F |
|
338 |
334 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
397 |
369 |
$0.00 |
| 3288F |
|
323 |
318 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
31 |
31 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
127 |
127 |
$0.00 |
| 1160F |
|
337 |
333 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| 3045F |
|
97 |
97 |
$0.00 |
| 1101F |
|
934 |
880 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
368 |
346 |
$0.00 |
| 3044F |
|
697 |
697 |
$0.00 |
| 3079F |
|
46 |
46 |
$0.00 |
| 3074F |
|
248 |
245 |
$0.00 |
| 3017F |
|
114 |
113 |
$0.00 |
| 1036F |
|
506 |
464 |
$0.00 |
| 3061F |
|
444 |
444 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
514 |
474 |
$0.00 |
| 1170F |
|
337 |
333 |
$0.00 |
| 1125F |
|
84 |
83 |
$0.00 |
| 1126F |
|
183 |
181 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| 3060F |
|
14 |
14 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |