| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,200 |
2,601 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
704 |
679 |
$54K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
351 |
351 |
$43K |
| 94010 |
|
742 |
740 |
$21K |
| 93000 |
|
883 |
877 |
$11K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
789 |
778 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
280 |
272 |
$5K |
| 99397 |
|
109 |
107 |
$3K |
| 90658 |
|
125 |
125 |
$2K |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
188 |
187 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,168 |
1,154 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
52 |
$781.12 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
41 |
33 |
$486.90 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
151 |
151 |
$250.00 |
| G0008 |
Administration of influenza virus vaccine |
193 |
193 |
$158.75 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
81 |
81 |
$69.01 |
| 82962 |
|
44 |
41 |
$25.58 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
17 |
12 |
$21.65 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
17 |
12 |
$15.66 |
| 3078F |
|
27 |
27 |
$2.50 |
| 3075F |
|
14 |
12 |
$2.50 |
| 3016F |
|
23 |
23 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
33 |
33 |
$0.00 |
| 1160F |
|
14 |
13 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
34 |
34 |
$0.00 |
| 3725F |
|
68 |
68 |
$0.00 |
| 3008F |
|
81 |
81 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
48 |
48 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
35 |
35 |
$0.00 |
| 1036F |
|
25 |
25 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
33 |
33 |
$0.00 |
| 1000F |
|
27 |
27 |
$0.00 |