| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,349 |
3,811 |
$152K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,099 |
972 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
638 |
599 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
249 |
248 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$2K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
185 |
185 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
28 |
$733.75 |
| 93000 |
|
41 |
39 |
$714.13 |
| 90674 |
|
25 |
25 |
$674.04 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$562.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
57 |
$511.94 |
| 99441 |
|
33 |
31 |
$205.71 |
| 90688 |
|
12 |
12 |
$167.22 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
16 |
16 |
$155.75 |
| 3074F |
|
2,844 |
2,476 |
$114.00 |
| 3078F |
|
2,371 |
2,090 |
$88.00 |
| 1125F |
|
1,268 |
1,154 |
$51.00 |
| 1126F |
|
1,027 |
950 |
$40.00 |
| 3079F |
|
533 |
480 |
$33.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$23.00 |
| 3075F |
|
96 |
90 |
$4.00 |
| 1159F |
|
105 |
87 |
$2.00 |
| 3008F |
|
804 |
737 |
$1.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
130 |
108 |
$0.00 |
| 3725F |
|
393 |
383 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,483 |
2,117 |
$0.00 |
| 1160F |
|
73 |
61 |
$0.00 |