| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
128 |
56 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,199 |
1,374 |
$1K |
| 90674 |
|
260 |
122 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
243 |
149 |
$210.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
216 |
192 |
$87.44 |
| 1159F |
|
191 |
115 |
$6.00 |
| 1160F |
|
191 |
115 |
$6.00 |
| 1170F |
|
191 |
115 |
$6.00 |
| 1125F |
|
88 |
59 |
$6.00 |
| 99499 |
|
40 |
15 |
$0.00 |
| 90661 |
|
30 |
29 |
$0.00 |
| 3078F |
|
97 |
53 |
$0.00 |
| 1157F |
|
62 |
33 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
465 |
270 |
$0.00 |
| 1126F |
|
103 |
56 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
62 |
33 |
$0.00 |
| 3074F |
|
65 |
36 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
126 |
84 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
16 |
14 |
$0.00 |
| 1101F |
|
76 |
33 |
$0.00 |