| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,261 |
9,246 |
$1.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,932 |
1,379 |
$129K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
770 |
667 |
$91K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
477 |
431 |
$54K |
| 99385 |
|
87 |
85 |
$11K |
| 93000 |
|
677 |
536 |
$9K |
| 90688 |
|
514 |
435 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
606 |
497 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
827 |
711 |
$3K |
| 99051 |
|
716 |
534 |
$3K |
| 99386 |
|
15 |
15 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$2K |
| 3044F |
|
688 |
637 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 3074F |
|
710 |
672 |
$1K |
| 0013A |
|
32 |
31 |
$1K |
| 3008F |
|
1,068 |
933 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
16 |
$862.01 |
| 0011A |
|
22 |
21 |
$840.48 |
| 90746 |
|
19 |
12 |
$839.45 |
| G0008 |
Administration of influenza virus vaccine |
41 |
38 |
$806.13 |
| 0012A |
|
20 |
20 |
$720.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
36 |
$706.32 |
| 90658 |
|
30 |
30 |
$515.76 |
| 1036F |
|
835 |
778 |
$342.83 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
703 |
660 |
$288.00 |
| 99408 |
|
780 |
733 |
$21.70 |
| 91301 |
|
126 |
119 |
$20.21 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
24 |
24 |
$14.88 |
| 3079F |
|
523 |
497 |
$1.27 |
| 3078F |
|
178 |
168 |
$0.50 |
| 99441 |
|
35 |
18 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
180 |
164 |
$0.00 |