| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,938 |
14,294 |
$2.00M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,231 |
1,231 |
$152K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,023 |
2,884 |
$55K |
| 93000 |
|
2,654 |
2,640 |
$39K |
| 92587 |
|
1,827 |
1,827 |
$38K |
| 94375 |
|
921 |
921 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
262 |
262 |
$31K |
| 90674 |
|
995 |
990 |
$30K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,292 |
2,291 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
201 |
$25K |
| 90756 |
|
492 |
492 |
$13K |
| 90750 |
|
57 |
57 |
$9K |
| 90651 |
|
24 |
24 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
92 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
5,522 |
5,434 |
$5K |
| 90661 |
|
154 |
154 |
$5K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
286 |
286 |
$4K |
| 83014 |
|
480 |
480 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
710 |
697 |
$2K |
| 3074F |
|
1,014 |
1,009 |
$2K |
| 90686 |
|
93 |
93 |
$2K |
| 90715 |
|
40 |
40 |
$2K |
| 3078F |
|
818 |
818 |
$2K |
| 0012A |
|
37 |
37 |
$2K |
| 0011A |
|
37 |
37 |
$1K |
| 90707 |
|
18 |
18 |
$1K |
| 83013 |
|
19 |
19 |
$1K |
| 90746 |
|
12 |
12 |
$848.26 |
| 90688 |
|
37 |
37 |
$645.03 |
| 3079F |
|
152 |
152 |
$264.99 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$182.52 |
| 1159F |
|
1,094 |
1,085 |
$80.00 |
| 1160F |
|
1,107 |
1,098 |
$72.50 |
| 1126F |
|
695 |
695 |
$45.00 |
| 3075F |
|
27 |
27 |
$35.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
12 |
12 |
$12.00 |
| 3008F |
|
1,387 |
1,385 |
$0.10 |
| 3011F |
|
1,489 |
1,475 |
$0.00 |
| 1036F |
|
1,127 |
1,127 |
$0.00 |
| 3048F |
|
153 |
153 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
42 |
42 |
$0.00 |
| 0513F |
|
298 |
294 |
$0.00 |
| 3049F |
|
110 |
110 |
$0.00 |
| 91301 |
|
74 |
74 |
$0.00 |
| 3023F |
|
226 |
226 |
$0.00 |
| 2014F |
|
280 |
280 |
$0.00 |
| 3725F |
|
515 |
504 |
$0.00 |
| 3050F |
|
13 |
13 |
$0.00 |
| 99408 |
|
91 |
91 |
$0.00 |