| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,943 |
4,743 |
$651K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,039 |
804 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
376 |
374 |
$40K |
| 99441 |
|
821 |
683 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
124 |
122 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
754 |
683 |
$14K |
| 93000 |
|
727 |
717 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
287 |
213 |
$6K |
| 99386 |
|
28 |
28 |
$4K |
| 90686 |
|
202 |
202 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
24 |
$3K |
| 0004A |
|
72 |
72 |
$3K |
| 99385 |
|
16 |
16 |
$2K |
| 0064A |
|
33 |
32 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,405 |
1,394 |
$1K |
| 90656 |
|
64 |
64 |
$758.64 |
| 90688 |
|
33 |
33 |
$622.00 |
| 96160 |
|
36 |
36 |
$99.70 |
| 90658 |
|
33 |
33 |
$18.24 |
| 91300 |
|
32 |
32 |
$0.11 |
| 91306 |
|
30 |
29 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
173 |
168 |
$0.00 |
| 3008F |
|
285 |
283 |
$0.00 |
| 99000 |
|
2,258 |
1,997 |
$0.00 |
| 1036F |
|
83 |
82 |
$0.00 |
| 1000F |
|
30 |
28 |
$0.00 |
| 3351F |
|
167 |
161 |
$0.00 |
| 1126F |
|
126 |
125 |
$0.00 |
| 1220F |
|
80 |
77 |
$0.00 |
| 3044F |
|
26 |
26 |
$0.00 |
| 3725F |
|
159 |
156 |
$0.00 |
| 1160F |
|
1,130 |
933 |
$0.00 |
| 1159F |
|
1,130 |
933 |
$0.00 |