| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,795 |
3,324 |
$197K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,323 |
4,625 |
$188K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
252 |
227 |
$23K |
| 96127 |
|
1,257 |
1,128 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
58 |
57 |
$3K |
| 90686 |
|
46 |
40 |
$511.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
17 |
$317.56 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$109.92 |
| 82962 |
|
69 |
56 |
$25.83 |
| 81002 |
|
14 |
12 |
$0.63 |
| 3008F |
|
3,221 |
2,935 |
$0.01 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56 |
53 |
$0.00 |
| 99173 |
|
26 |
26 |
$0.00 |
| 3078F |
|
81 |
77 |
$0.00 |
| 3079F |
|
30 |
26 |
$0.00 |
| 3074F |
|
68 |
66 |
$0.00 |