| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,066 |
6,869 |
$658K |
| 99442 |
|
1,653 |
1,600 |
$123K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
368 |
366 |
$45K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
196 |
196 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
194 |
188 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
245 |
240 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
667 |
658 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
4,284 |
4,180 |
$10K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
612 |
612 |
$7K |
| 90686 |
|
431 |
430 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,302 |
1,299 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
155 |
152 |
$4K |
| 93000 |
|
354 |
352 |
$4K |
| 3074F |
|
2,443 |
2,207 |
$2K |
| 3078F |
|
2,287 |
2,080 |
$2K |
| 90656 |
|
86 |
86 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
156 |
156 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
27 |
27 |
$1K |
| 99051 |
|
103 |
97 |
$861.46 |
| 90674 |
|
27 |
27 |
$712.34 |
| 3079F |
|
764 |
716 |
$680.00 |
| 90662 |
|
82 |
82 |
$607.12 |
| 90688 |
|
30 |
30 |
$586.30 |
| 99072 |
|
439 |
367 |
$563.27 |
| 0031A |
|
17 |
17 |
$549.19 |
| 0124A |
|
18 |
18 |
$475.42 |
| 0134A |
|
20 |
20 |
$286.01 |
| 3075F |
|
467 |
442 |
$280.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
751 |
747 |
$104.00 |
| 99173 |
|
60 |
60 |
$96.12 |
| 90694 |
|
36 |
36 |
$69.62 |
| 90653 |
|
12 |
12 |
$59.53 |
| G0008 |
Administration of influenza virus vaccine |
147 |
147 |
$51.49 |
| 1170F |
|
440 |
440 |
$15.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
412 |
410 |
$14.00 |
| 3077F |
|
30 |
29 |
$12.50 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
842 |
825 |
$4.00 |
| 3008F |
|
1,604 |
1,569 |
$0.04 |
| 1126F |
|
821 |
821 |
$0.00 |
| 2000F |
|
1,003 |
998 |
$0.00 |
| 3351F |
|
207 |
206 |
$0.00 |
| 1036F |
|
430 |
427 |
$0.00 |
| 3011F |
|
29 |
28 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
26 |
26 |
$0.00 |
| 3725F |
|
634 |
631 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
141 |
141 |
$0.00 |
| 3016F |
|
12 |
12 |
$0.00 |
| 1159F |
|
32 |
31 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14 |
14 |
$0.00 |
| 1160F |
|
32 |
31 |
$0.00 |