| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,201 |
6,574 |
$743K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,429 |
1,332 |
$76K |
| 90651 |
|
159 |
159 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
338 |
326 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
200 |
189 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,532 |
1,485 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
190 |
184 |
$21K |
| H0049 |
Alcohol and/or drug screening |
1,291 |
1,273 |
$17K |
| 3074F |
|
7,429 |
5,700 |
$13K |
| 90674 |
|
405 |
405 |
$12K |
| 3078F |
|
7,034 |
5,455 |
$12K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,549 |
1,482 |
$9K |
| 87428 |
|
93 |
83 |
$5K |
| 90686 |
|
189 |
189 |
$3K |
| 90661 |
|
66 |
66 |
$2K |
| 0011A |
|
66 |
66 |
$2K |
| 0012A |
|
66 |
66 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
76 |
73 |
$2K |
| 3079F |
|
778 |
688 |
$2K |
| 99442 |
|
17 |
15 |
$1K |
| 97802 |
|
148 |
125 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
53 |
49 |
$1K |
| 90688 |
|
63 |
62 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
41 |
$734.92 |
| 3075F |
|
308 |
271 |
$636.00 |
| 90656 |
|
32 |
32 |
$562.17 |
| 99050 |
|
1,824 |
1,652 |
$381.09 |
| 93000 |
|
63 |
63 |
$282.61 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,530 |
1,448 |
$246.52 |
| 0064A |
|
58 |
58 |
$170.00 |
| 96160 |
|
13 |
13 |
$148.75 |
| 36415 |
Collection of venous blood by venipuncture |
2,083 |
2,067 |
$79.08 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
142 |
131 |
$30.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
110 |
82 |
$25.30 |
| 36410 |
|
385 |
384 |
$19.75 |
| 91301 |
|
74 |
74 |
$0.20 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,000 |
988 |
$0.00 |
| 3008F |
|
8,560 |
6,478 |
$0.00 |
| 99000 |
|
2,626 |
2,510 |
$0.00 |
| 1000F |
|
1,082 |
1,069 |
$0.00 |
| 1036F |
|
1,001 |
989 |
$0.00 |
| 0513F |
|
15 |
13 |
$0.00 |
| 96127 |
|
17 |
17 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
31 |
31 |
$0.00 |
| 3725F |
|
1,726 |
1,638 |
$0.00 |
| 99408 |
|
912 |
905 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
188 |
186 |
$0.00 |
| 99072 |
|
761 |
662 |
$0.00 |
| 3016F |
|
30 |
30 |
$0.00 |
| 91300 |
|
29 |
27 |
$0.00 |