| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,326 |
20,609 |
$2.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,051 |
16,581 |
$1.38M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,853 |
2,694 |
$326K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,407 |
2,229 |
$295K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,190 |
1,959 |
$217K |
| 99215 |
Prolong outpt/office vis |
2,245 |
2,002 |
$194K |
| 99385 |
|
1,510 |
1,394 |
$191K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,382 |
1,159 |
$189K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,056 |
2,597 |
$106K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,180 |
1,099 |
$69K |
| 99386 |
|
354 |
298 |
$50K |
| 93000 |
|
3,857 |
3,517 |
$49K |
| 99454 |
|
3,133 |
2,648 |
$43K |
| 99458 |
|
1,600 |
1,362 |
$42K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
552 |
492 |
$21K |
| 93922 |
|
673 |
648 |
$17K |
| 99205 |
Prolong outpt/office vis |
64 |
55 |
$13K |
| 3074F |
|
9,294 |
8,026 |
$10K |
| 99457 |
|
2,318 |
1,978 |
$8K |
| G0008 |
Administration of influenza virus vaccine |
426 |
372 |
$8K |
| 99490 |
Ccm add 20min |
83 |
79 |
$8K |
| 1101F |
|
215 |
177 |
$5K |
| 94060 |
|
107 |
100 |
$4K |
| 90662 |
|
336 |
288 |
$3K |
| 3075F |
|
1,586 |
1,418 |
$3K |
| 90686 |
|
167 |
116 |
$3K |
| 95923 |
|
110 |
105 |
$2K |
| 0013A |
|
52 |
50 |
$2K |
| 99497 |
|
1,250 |
1,143 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
161 |
107 |
$983.25 |
| 92250 |
|
17 |
16 |
$740.30 |
| 99453 |
|
179 |
114 |
$596.58 |
| 99439 |
|
78 |
74 |
$586.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
26 |
$289.08 |
| 96160 |
|
55 |
44 |
$270.00 |
| 81002 |
|
145 |
124 |
$235.45 |
| 3288F |
|
249 |
196 |
$151.79 |
| 81025 |
|
16 |
14 |
$68.40 |
| 99050 |
|
15 |
15 |
$48.00 |
| 3079F |
|
2,781 |
2,500 |
$0.00 |
| 3078F |
|
7,906 |
6,844 |
$0.00 |
| 99397 |
|
13 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
79 |
79 |
$0.00 |