| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
6,337 |
6,337 |
$390K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,330 |
2,330 |
$149K |
| 93922 |
|
7,002 |
7,002 |
$100K |
| 95905 |
|
4,395 |
4,395 |
$41K |
| 92250 |
|
284 |
284 |
$12K |
| 76977 |
|
342 |
342 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
455 |
455 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,198 |
6,197 |
$0.00 |
| 3079F |
|
2,421 |
2,421 |
$0.00 |
| 3052F |
|
243 |
243 |
$0.00 |
| 1111F |
|
189 |
189 |
$0.00 |
| 3044F |
|
2,416 |
2,416 |
$0.00 |
| 3074F |
|
4,686 |
4,686 |
$0.00 |
| 3351F |
|
379 |
379 |
$0.00 |
| 1170F |
|
659 |
659 |
$0.00 |
| 3080F |
|
670 |
670 |
$0.00 |
| 3072F |
|
80 |
80 |
$0.00 |
| 3075F |
|
2,383 |
2,382 |
$0.00 |
| 94010 |
|
119 |
119 |
$0.00 |
| 1126F |
|
419 |
419 |
$0.00 |
| 1101F |
|
605 |
605 |
$0.00 |
| 2023F |
|
54 |
54 |
$0.00 |
| 3352F |
|
47 |
47 |
$0.00 |
| 3008F |
|
128 |
128 |
$0.00 |
| 3353F |
|
109 |
109 |
$0.00 |
| 1125F |
|
250 |
250 |
$0.00 |
| 99408 |
|
2,560 |
2,559 |
$0.00 |
| 2025F |
|
410 |
410 |
$0.00 |
| 1159F |
|
630 |
630 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
7,970 |
7,970 |
$0.00 |
| 3078F |
|
5,365 |
5,365 |
$0.00 |
| 3046F |
|
335 |
334 |
$0.00 |
| 3051F |
|
575 |
574 |
$0.00 |
| 3077F |
|
1,377 |
1,377 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,605 |
1,605 |
$0.00 |
| 1100F |
|
59 |
59 |
$0.00 |
| 1160F |
|
630 |
630 |
$0.00 |