| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,771 |
14,410 |
$937K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,418 |
8,188 |
$362K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,856 |
2,838 |
$210K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,665 |
2,650 |
$175K |
| 99215 |
Prolong outpt/office vis |
1,050 |
1,026 |
$106K |
| 99385 |
|
777 |
777 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
373 |
372 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
254 |
252 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
157 |
155 |
$10K |
| 99386 |
|
104 |
104 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
201 |
189 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
83 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
63 |
63 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
192 |
188 |
$3K |
| 99383 |
|
30 |
30 |
$2K |
| 99406 |
|
235 |
234 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$1K |
| 99384 |
|
14 |
14 |
$849.39 |
| 99442 |
|
61 |
60 |
$815.42 |
| 90656 |
|
50 |
50 |
$803.66 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
136 |
136 |
$649.54 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$599.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
25 |
$265.08 |
| 36415 |
Collection of venous blood by venipuncture |
60 |
60 |
$259.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$228.49 |
| 96127 |
|
32 |
29 |
$90.19 |
| 94010 |
|
14 |
14 |
$59.62 |
| 92551 |
|
19 |
19 |
$48.51 |
| 3078F |
|
4,128 |
3,971 |
$0.00 |
| 3077F |
|
1,031 |
985 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
396 |
394 |
$0.00 |
| 90734 |
|
20 |
13 |
$0.00 |
| 3074F |
|
5,686 |
5,441 |
$0.00 |
| 3079F |
|
3,074 |
2,978 |
$0.00 |
| 3075F |
|
1,290 |
1,265 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
2,005 |
1,947 |
$0.00 |
| 3080F |
|
601 |
583 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,765 |
2,710 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |