| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,823 |
3,667 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,989 |
1,874 |
$8K |
| G9920 |
Screening performed and negative |
738 |
737 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
414 |
394 |
$579.40 |
| 92551 |
|
94 |
94 |
$380.63 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
40 |
$129.90 |
| 85018 |
|
227 |
225 |
$82.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$75.00 |
| 81003 |
|
228 |
227 |
$61.31 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,976 |
1,911 |
$43.66 |
| H0049 |
Alcohol and/or drug screening |
648 |
647 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
263 |
253 |
$0.00 |
| 3044F |
|
126 |
119 |
$0.00 |
| 3075F |
|
360 |
351 |
$0.00 |
| 3074F |
|
2,015 |
1,837 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$0.00 |
| 3080F |
|
237 |
224 |
$0.00 |
| 93000 |
|
13 |
13 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 3078F |
|
2,656 |
2,412 |
$0.00 |
| 3077F |
|
550 |
519 |
$0.00 |
| 99499 |
|
30 |
29 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
56 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |