| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,210 |
5,911 |
$300K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,031 |
980 |
$61K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
985 |
936 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,315 |
1,257 |
$45K |
| 92552 |
|
823 |
753 |
$12K |
| 99385 |
|
165 |
153 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
108 |
103 |
$8K |
| 96127 |
|
3,330 |
3,141 |
$8K |
| 99384 |
|
72 |
71 |
$6K |
| 99490 |
Ccm add 20min |
811 |
765 |
$6K |
| 90686 |
|
426 |
411 |
$4K |
| 99499 |
|
60 |
60 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
88 |
$2K |
| 99406 |
|
163 |
138 |
$2K |
| 3079F |
|
372 |
352 |
$1K |
| 3078F |
|
348 |
343 |
$1K |
| 99173 |
|
826 |
742 |
$1K |
| 99443 |
|
13 |
13 |
$1K |
| 3074F |
|
273 |
266 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
305 |
260 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$942.24 |
| 3077F |
|
225 |
211 |
$880.00 |
| 99386 |
|
15 |
14 |
$758.30 |
| 3044F |
|
164 |
157 |
$740.00 |
| 3075F |
|
171 |
167 |
$560.00 |
| 99484 |
|
65 |
62 |
$473.44 |
| 4010F |
|
193 |
186 |
$300.00 |
| 82962 |
|
284 |
275 |
$200.32 |
| 81025 |
|
244 |
235 |
$29.46 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
68 |
$22.50 |
| 82948 |
|
24 |
24 |
$9.60 |
| 1125F |
|
12 |
12 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
753 |
722 |
$0.00 |
| G9920 |
Screening performed and negative |
2,242 |
2,129 |
$0.00 |
| 81002 |
|
13 |
13 |
$0.00 |
| 1159F |
|
60 |
60 |
$0.00 |
| 1160F |
|
41 |
41 |
$0.00 |
| 3046F |
|
26 |
26 |
$0.00 |