| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,231 |
2,040 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
749 |
737 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
686 |
586 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
62 |
62 |
$1K |
| 99429 |
|
61 |
61 |
$1K |
| 90688 |
|
58 |
58 |
$1K |
| 90662 |
|
152 |
152 |
$661.92 |
| 3725F |
|
53 |
53 |
$260.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
109 |
109 |
$1.01 |
| G0008 |
Administration of influenza virus vaccine |
150 |
150 |
$0.00 |
| 3074F |
|
127 |
125 |
$0.00 |
| 1170F |
|
137 |
135 |
$0.00 |
| 1125F |
|
66 |
64 |
$0.00 |
| 1126F |
|
50 |
50 |
$0.00 |
| 3008F |
|
16 |
16 |
$0.00 |
| 4010F |
|
12 |
12 |
$0.00 |
| 1159F |
|
259 |
256 |
$0.00 |
| 1158F |
|
263 |
261 |
$0.00 |
| 3078F |
|
252 |
249 |
$0.00 |
| 1160F |
|
267 |
265 |
$0.00 |
| 3077F |
|
67 |
66 |
$0.00 |