| Code | Description | Claims | Beneficiaries | Total Paid |
| 99443 |
|
2,417 |
2,165 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,593 |
3,250 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,029 |
896 |
$15K |
| 99401 |
|
1,721 |
1,590 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,336 |
1,297 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
176 |
173 |
$2K |
| 90688 |
|
122 |
122 |
$1K |
| 90686 |
|
159 |
159 |
$907.55 |
| 36415 |
Collection of venous blood by venipuncture |
2,328 |
2,264 |
$768.89 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
50 |
50 |
$753.61 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
468 |
446 |
$636.72 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
55 |
$460.73 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$271.00 |
| 0012A |
|
17 |
17 |
$265.71 |
| 0011A |
|
15 |
15 |
$265.71 |
| 90756 |
|
12 |
12 |
$252.20 |
| 96127 |
|
925 |
925 |
$166.69 |
| 3074F |
|
87 |
82 |
$5.00 |
| 3078F |
|
124 |
118 |
$5.00 |
| 3008F |
|
2,111 |
1,935 |
$0.05 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
724 |
723 |
$0.04 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
221 |
220 |
$0.01 |
| H0001 |
Alcohol and/or drug assessment |
421 |
421 |
$0.00 |
| 99000 |
|
1,899 |
1,832 |
$0.00 |
| 1036F |
|
148 |
148 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
471 |
431 |
$0.00 |
| 1000F |
|
163 |
163 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
184 |
170 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
34 |
$0.00 |
| 3725F |
|
432 |
432 |
$0.00 |
| 3016F |
|
303 |
303 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,183 |
1,073 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
183 |
169 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
464 |
464 |
$0.00 |
| 4004F |
|
37 |
37 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$0.00 |