| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,463 |
10,401 |
$1.14M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,967 |
1,967 |
$252K |
| 99442 |
|
564 |
513 |
$48K |
| 90756 |
|
1,103 |
1,103 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
206 |
203 |
$29K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,199 |
3,190 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,499 |
1,480 |
$26K |
| H0001 |
Alcohol and/or drug assessment |
2,901 |
2,888 |
$21K |
| 93000 |
|
740 |
740 |
$12K |
| H0049 |
Alcohol and/or drug screening |
1,201 |
1,194 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
75 |
75 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,663 |
2,662 |
$9K |
| 3074F |
|
2,495 |
2,196 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
83 |
$5K |
| 3078F |
|
2,226 |
1,913 |
$5K |
| 90688 |
|
206 |
206 |
$4K |
| 90658 |
|
101 |
101 |
$2K |
| 3079F |
|
881 |
835 |
$2K |
| 3075F |
|
549 |
507 |
$1K |
| 0031A |
|
17 |
17 |
$711.44 |
| 90686 |
|
15 |
15 |
$339.97 |
| 36415 |
Collection of venous blood by venipuncture |
1,993 |
1,983 |
$334.89 |
| 1160F |
|
282 |
281 |
$25.00 |
| 1159F |
|
270 |
269 |
$25.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
3,040 |
3,030 |
$5.67 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
571 |
569 |
$1.70 |
| 1000F |
|
2,801 |
2,765 |
$0.40 |
| 1036F |
|
2,461 |
2,449 |
$0.40 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
40 |
39 |
$0.40 |
| 3008F |
|
198 |
197 |
$0.04 |
| 3725F |
|
2,404 |
2,397 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
31 |
31 |
$0.00 |
| 3016F |
|
746 |
743 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
28 |
25 |
$0.00 |
| 3011F |
|
33 |
33 |
$0.00 |
| 91303 |
|
17 |
17 |
$0.00 |