| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,463 |
5,942 |
$294K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,763 |
1,653 |
$114K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
173 |
165 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
176 |
175 |
$12K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
511 |
484 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
640 |
620 |
$6K |
| 90682 |
|
346 |
340 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
116 |
107 |
$2K |
| 87428 |
|
85 |
84 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,449 |
1,420 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,331 |
1,307 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$976.74 |
| 80305 |
|
93 |
92 |
$602.32 |
| 99310 |
Prolong nursin fac eval 15m |
16 |
16 |
$482.48 |
| 90686 |
|
24 |
24 |
$311.11 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
20 |
$183.02 |
| 81002 |
|
41 |
40 |
$137.53 |
| 3078F |
|
284 |
265 |
$0.06 |
| 3075F |
|
104 |
103 |
$0.05 |
| 3074F |
|
296 |
275 |
$0.03 |
| 3079F |
|
101 |
98 |
$0.03 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$0.00 |
| G9920 |
Screening performed and negative |
174 |
172 |
$0.00 |