| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,508 |
5,496 |
$171K |
| 99442 |
|
2,765 |
2,269 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
567 |
517 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,398 |
1,317 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
290 |
258 |
$9K |
| 90734 |
|
86 |
86 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
462 |
459 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
515 |
472 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
345 |
342 |
$4K |
| 92587 |
|
189 |
187 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
409 |
392 |
$3K |
| 90686 |
|
802 |
800 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
417 |
409 |
$2K |
| 92552 |
|
1,026 |
1,024 |
$2K |
| 90688 |
|
111 |
110 |
$1K |
| 99441 |
|
87 |
83 |
$1K |
| 93000 |
|
225 |
224 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
255 |
242 |
$1K |
| 3074F |
|
677 |
659 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
79 |
$993.28 |
| 3078F |
|
614 |
592 |
$985.00 |
| 90656 |
|
46 |
46 |
$826.95 |
| 36415 |
Collection of venous blood by venipuncture |
3,029 |
2,832 |
$642.27 |
| 99195 |
|
425 |
414 |
$515.09 |
| 99177 |
|
280 |
280 |
$435.00 |
| 90746 |
|
16 |
16 |
$333.40 |
| 90715 |
|
27 |
27 |
$146.35 |
| 90716 |
|
12 |
12 |
$129.30 |
| 99401 |
|
329 |
315 |
$122.90 |
| 3079F |
|
43 |
43 |
$105.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
53 |
$60.02 |
| H0001 |
Alcohol and/or drug assessment |
566 |
565 |
$60.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
242 |
230 |
$13.50 |
| 92250 |
|
12 |
12 |
$11.16 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
454 |
420 |
$9.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
892 |
864 |
$9.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
857 |
836 |
$9.00 |
| 99174 |
|
885 |
882 |
$0.00 |
| 1000F |
|
1,100 |
1,075 |
$0.00 |
| 3008F |
|
2,408 |
2,225 |
$0.00 |
| 1036F |
|
1,013 |
993 |
$0.00 |
| 97802 |
|
17 |
17 |
$0.00 |
| 99429 |
|
17 |
13 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
12 |
12 |
$0.00 |
| 90744 |
|
17 |
17 |
$0.00 |
| 3016F |
|
863 |
862 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
805 |
804 |
$0.00 |
| 92015 |
Determination of refractive state |
883 |
880 |
$0.00 |
| 3725F |
|
1,294 |
1,239 |
$0.00 |
| 90670 |
|
29 |
29 |
$0.00 |
| G9818 |
Documentation of sexual activity |
204 |
204 |
$0.00 |
| 90461 |
|
30 |
27 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$0.00 |
| 90633 |
|
28 |
28 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
31 |
$0.00 |
| 3015F |
|
12 |
12 |
$0.00 |