| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,014 |
7,704 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,943 |
4,616 |
$60K |
| 93000 |
|
398 |
395 |
$4K |
| 99454 |
|
879 |
863 |
$2K |
| 90662 |
|
807 |
787 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
1,015 |
991 |
$812.56 |
| 96401 |
|
261 |
259 |
$573.16 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
155 |
137 |
$380.28 |
| 99497 |
|
766 |
748 |
$321.18 |
| 97814 |
|
741 |
513 |
$279.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
85 |
82 |
$238.00 |
| 90694 |
|
123 |
118 |
$212.44 |
| 99401 |
|
13 |
12 |
$205.28 |
| 97813 |
|
731 |
507 |
$194.97 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
988 |
974 |
$133.43 |
| 99349 |
|
13 |
13 |
$132.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
393 |
375 |
$100.64 |
| 90688 |
|
58 |
58 |
$94.62 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
757 |
697 |
$85.02 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,017 |
1,002 |
$54.75 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
261 |
250 |
$17.83 |
| 99457 |
|
135 |
135 |
$9.33 |
| G9275 |
Documentation that patient is a current non-tobacco user |
728 |
674 |
$0.00 |
| 1101F |
|
575 |
528 |
$0.00 |
| 1036F |
|
730 |
675 |
$0.00 |
| 1126F |
|
660 |
599 |
$0.00 |
| 1170F |
|
660 |
599 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
782 |
720 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
216 |
215 |
$0.00 |
| 3725F |
|
783 |
721 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,067 |
1,018 |
$0.00 |
| 3016F |
|
12 |
12 |
$0.00 |
| 3288F |
|
577 |
529 |
$0.00 |
| 99453 |
|
84 |
70 |
$0.00 |
| 20552 |
|
17 |
15 |
$0.00 |