| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,171 |
3,764 |
$83K |
| 99215 |
Prolong outpt/office vis |
310 |
309 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,364 |
4,814 |
$32K |
| 99454 |
|
2,067 |
2,061 |
$11K |
| 90682 |
|
266 |
266 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
797 |
790 |
$8K |
| 99457 |
|
2,480 |
2,474 |
$8K |
| 99458 |
|
1,393 |
1,390 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$2K |
| 90662 |
|
38 |
38 |
$2K |
| 90686 |
|
93 |
93 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
1,567 |
1,401 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
247 |
247 |
$879.80 |
| 88150 |
|
116 |
116 |
$878.74 |
| 99406 |
|
101 |
101 |
$450.79 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
137 |
137 |
$395.00 |
| 99453 |
|
47 |
47 |
$351.39 |
| 99385 |
|
25 |
25 |
$287.19 |
| 2000F |
|
872 |
838 |
$162.00 |
| 3008F |
|
263 |
262 |
$156.20 |
| 99386 |
|
15 |
15 |
$140.00 |
| 90673 |
|
12 |
12 |
$135.21 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
94 |
94 |
$124.56 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
185 |
183 |
$121.50 |
| 93000 |
|
15 |
15 |
$105.94 |
| 90653 |
|
28 |
28 |
$100.00 |
| 3078F |
|
103 |
103 |
$88.41 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$88.15 |
| 96150 |
|
54 |
54 |
$78.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$53.71 |
| G9393 |
Patient with an initial phq-9 score greater than nine who achieves remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score of less than five |
116 |
116 |
$37.50 |
| 3017F |
|
38 |
37 |
$37.50 |
| 3074F |
|
110 |
110 |
$37.50 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
233 |
228 |
$37.50 |
| 2010F |
|
49 |
49 |
$30.00 |
| 96151 |
|
14 |
14 |
$30.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
15 |
$30.00 |
| 1125F |
|
105 |
104 |
$24.00 |
| 1036F |
|
51 |
50 |
$24.00 |
| 36410 |
|
39 |
39 |
$10.80 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
280 |
279 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
276 |
268 |
$0.00 |
| 1170F |
|
37 |
37 |
$0.00 |
| 96127 |
|
40 |
40 |
$0.00 |
| 96156 |
|
36 |
36 |
$0.00 |
| 90845 |
|
30 |
30 |
$0.00 |
| 96125 |
|
42 |
41 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
28 |
28 |
$0.00 |
| 0521F |
|
75 |
74 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| 1158F |
|
62 |
62 |
$0.00 |
| 2014F |
|
25 |
25 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
18 |
18 |
$0.00 |