| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,950 |
10,553 |
$256K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,047 |
1,677 |
$75K |
| 3008F |
|
15,266 |
11,491 |
$34K |
| 82962 |
|
9,332 |
7,721 |
$30K |
| 1159F |
|
6,745 |
5,203 |
$30K |
| 3078F |
|
9,377 |
7,285 |
$25K |
| 3079F |
|
5,282 |
4,294 |
$16K |
| 3725F |
|
4,595 |
3,673 |
$16K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
6,213 |
3,558 |
$13K |
| 1158F |
|
3,104 |
2,251 |
$12K |
| 99499 |
|
662 |
599 |
$10K |
| 1170F |
|
988 |
924 |
$10K |
| 99441 |
|
1,012 |
897 |
$9K |
| 3074F |
|
10,026 |
7,922 |
$8K |
| 99442 |
|
1,145 |
1,044 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
646 |
584 |
$6K |
| 1157F |
|
1,557 |
1,224 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,189 |
2,843 |
$5K |
| 1160F |
|
6,750 |
5,206 |
$3K |
| 3075F |
|
3,770 |
2,992 |
$2K |
| 90715 |
|
63 |
62 |
$1K |
| 90688 |
|
60 |
60 |
$1K |
| 1111F |
|
76 |
73 |
$750.00 |
| 36416 |
|
8,268 |
6,503 |
$460.03 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$300.00 |
| 1126F |
|
102 |
64 |
$300.00 |
| 3044F |
|
61 |
61 |
$275.00 |
| 93000 |
|
26 |
25 |
$252.40 |
| H0049 |
Alcohol and/or drug screening |
19 |
19 |
$190.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
151 |
148 |
$173.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
979 |
715 |
$50.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,229 |
1,796 |
$25.00 |
| 3077F |
|
104 |
73 |
$0.00 |
| 0521F |
|
12 |
12 |
$0.00 |
| 3288F |
|
74 |
31 |
$0.00 |
| 94010 |
|
16 |
16 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |