| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,187 |
2,661 |
$282K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,625 |
3,208 |
$222K |
| 99401 |
|
2,540 |
2,122 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
279 |
267 |
$25K |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
806 |
661 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
157 |
138 |
$14K |
| 96127 |
|
861 |
777 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
47 |
39 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
369 |
340 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
169 |
157 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
178 |
157 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
49 |
$2K |
| 96112 |
|
36 |
34 |
$2K |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
39 |
37 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 99000 |
|
820 |
733 |
$990.31 |
| 36415 |
Collection of venous blood by venipuncture |
370 |
344 |
$983.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
15 |
$533.25 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
29 |
25 |
$479.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
32 |
30 |
$395.50 |
| 1159F |
|
214 |
182 |
$0.00 |
| 3008F |
|
364 |
315 |
$0.00 |