| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,193 |
30,843 |
$1.83M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,810 |
3,615 |
$225K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
713 |
713 |
$92K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,111 |
1,053 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
209 |
209 |
$26K |
| 93000 |
|
1,646 |
1,635 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,056 |
1,028 |
$16K |
| 99401 |
|
582 |
581 |
$14K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
958 |
954 |
$6K |
| 90674 |
|
282 |
281 |
$5K |
| 90756 |
|
405 |
402 |
$5K |
| 90688 |
|
370 |
369 |
$5K |
| 82274 |
|
445 |
437 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
177 |
158 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
523 |
521 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
847 |
844 |
$2K |
| 99497 |
|
117 |
117 |
$1K |
| 0064A |
|
26 |
26 |
$1K |
| 90715 |
|
28 |
28 |
$837.16 |
| 36410 |
|
680 |
671 |
$756.28 |
| 97802 |
|
444 |
437 |
$486.48 |
| 36415 |
Collection of venous blood by venipuncture |
583 |
573 |
$407.32 |
| 99406 |
|
25 |
25 |
$291.26 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$265.01 |
| G0008 |
Administration of influenza virus vaccine |
266 |
265 |
$208.11 |
| 90656 |
|
15 |
14 |
$182.34 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
70 |
70 |
$124.32 |
| 99397 |
|
98 |
98 |
$61.11 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
316 |
315 |
$22.50 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
523 |
521 |
$22.50 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
77 |
77 |
$9.82 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
102 |
102 |
$4.50 |
| 91306 |
|
26 |
26 |
$0.22 |
| 99429 |
|
499 |
401 |
$0.00 |
| 1036F |
|
139 |
138 |
$0.00 |
| 90686 |
|
20 |
20 |
$0.00 |
| 1125F |
|
84 |
84 |
$0.00 |
| 1000F |
|
122 |
122 |
$0.00 |
| 3008F |
|
132 |
130 |
$0.00 |
| 1170F |
|
108 |
108 |
$0.00 |
| 1157F |
|
108 |
108 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
68 |
68 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$0.00 |
| 1159F |
|
108 |
108 |
$0.00 |
| 3016F |
|
120 |
120 |
$0.00 |
| 1158F |
|
108 |
108 |
$0.00 |
| 1100F |
|
109 |
109 |
$0.00 |
| 3725F |
|
163 |
163 |
$0.00 |
| 1160F |
|
108 |
108 |
$0.00 |
| 90672 |
|
15 |
15 |
$0.00 |