| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,059 |
4,548 |
$459K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,722 |
1,685 |
$216K |
| 99205 |
Prolong outpt/office vis |
895 |
894 |
$208K |
| 99215 |
Prolong outpt/office vis |
587 |
562 |
$99K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,138 |
1,076 |
$64K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
151 |
150 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
940 |
890 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
156 |
156 |
$18K |
| 92551 |
|
774 |
774 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
43 |
$6K |
| 90686 |
|
316 |
316 |
$3K |
| 90672 |
|
147 |
147 |
$2K |
| 90473 |
|
165 |
165 |
$2K |
| 99051 |
|
563 |
538 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 81002 |
|
635 |
634 |
$1K |
| 99406 |
|
286 |
285 |
$1K |
| 99173 |
|
680 |
679 |
$1K |
| 96127 |
|
289 |
287 |
$959.97 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
262 |
260 |
$948.03 |
| 36415 |
Collection of venous blood by venipuncture |
753 |
750 |
$886.85 |
| 99408 |
|
149 |
148 |
$711.14 |
| H0001 |
Alcohol and/or drug assessment |
193 |
193 |
$629.70 |
| 97804 |
|
129 |
128 |
$357.30 |
| 97802 |
|
62 |
62 |
$38.56 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
184 |
184 |
$24.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
179 |
178 |
$24.00 |
| 3725F |
|
50 |
50 |
$0.00 |
| 3016F |
|
47 |
47 |
$0.00 |
| 1000F |
|
48 |
48 |
$0.00 |
| 1036F |
|
46 |
46 |
$0.00 |
| 4000F |
|
50 |
50 |
$0.00 |
| 99429 |
|
16 |
16 |
$0.00 |