| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,678 |
3,380 |
$237K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
627 |
614 |
$52K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
52 |
$5K |
| 99497 |
|
35 |
32 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
150 |
150 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$1K |
| 90756 |
|
35 |
35 |
$863.74 |
| 96127 |
|
106 |
106 |
$341.10 |
| 90688 |
|
13 |
13 |
$210.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
16 |
$200.62 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
17 |
$103.80 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
13 |
$16.74 |
| 3078F |
|
3,123 |
2,836 |
$0.23 |
| 3075F |
|
640 |
596 |
$0.12 |
| 3074F |
|
3,280 |
2,963 |
$0.12 |
| 3079F |
|
1,284 |
1,170 |
$0.06 |
| 3008F |
|
910 |
868 |
$0.03 |
| 3077F |
|
170 |
153 |
$0.03 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
418 |
407 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
786 |
747 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
1,063 |
957 |
$0.00 |
| 3080F |
|
81 |
75 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
43 |
43 |
$0.00 |
| 1159F |
|
803 |
763 |
$0.00 |
| 1160F |
|
682 |
657 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
125 |
124 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
34 |
34 |
$0.00 |