| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,581 |
6,973 |
$628K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,300 |
1,263 |
$131K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
441 |
440 |
$58K |
| 92081 |
|
1,692 |
1,688 |
$54K |
| 94060 |
|
878 |
876 |
$41K |
| 99442 |
|
767 |
734 |
$40K |
| 93000 |
|
2,474 |
2,465 |
$33K |
| 92588 |
|
1,233 |
1,229 |
$29K |
| 92020 |
|
1,131 |
1,130 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
374 |
358 |
$20K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
911 |
910 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
137 |
137 |
$17K |
| 76775 |
|
363 |
363 |
$16K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,164 |
1,161 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
357 |
329 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
408 |
405 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,898 |
3,683 |
$7K |
| 81002 |
|
2,677 |
2,615 |
$5K |
| 90686 |
|
240 |
240 |
$5K |
| 99441 |
|
53 |
53 |
$2K |
| 96127 |
|
282 |
282 |
$2K |
| 92587 |
|
58 |
58 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 90756 |
|
49 |
49 |
$794.46 |
| 0012A |
|
20 |
20 |
$760.29 |
| 90656 |
|
35 |
35 |
$706.98 |
| 0011A |
|
21 |
21 |
$660.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
44 |
$487.11 |
| 90674 |
|
20 |
20 |
$411.74 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
111 |
111 |
$292.50 |
| 90662 |
|
25 |
25 |
$281.32 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$233.00 |
| 90688 |
|
14 |
14 |
$147.41 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$33.04 |
| 3074F |
|
15 |
12 |
$5.00 |
| 91301 |
|
35 |
35 |
$0.01 |
| 90863 |
|
12 |
12 |
$0.00 |
| 3725F |
|
202 |
202 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |