| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,020 |
8,659 |
$765K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,292 |
3,678 |
$160K |
| 94060 |
|
1,557 |
1,555 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
443 |
356 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
414 |
400 |
$36K |
| 99441 |
|
794 |
712 |
$32K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,788 |
2,222 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
346 |
345 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
299 |
295 |
$25K |
| 99442 |
|
199 |
194 |
$14K |
| 99490 |
Ccm add 20min |
300 |
300 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,694 |
1,661 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
136 |
136 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
567 |
267 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
61 |
61 |
$6K |
| 93000 |
|
523 |
522 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
51 |
$5K |
| 92567 |
|
437 |
437 |
$5K |
| 92553 |
|
256 |
256 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,004 |
945 |
$3K |
| 96127 |
|
398 |
339 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
114 |
65 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 90686 |
|
181 |
180 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
77 |
$723.09 |
| 36415 |
Collection of venous blood by venipuncture |
2,333 |
2,282 |
$239.66 |
| 99173 |
|
151 |
151 |
$25.41 |
| 90461 |
|
176 |
174 |
$24.51 |
| 94760 |
|
452 |
450 |
$0.59 |
| 99000 |
|
4,702 |
4,219 |
$0.28 |
| 99072 |
|
1,203 |
1,030 |
$0.00 |
| 99401 |
|
35 |
35 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
54 |
48 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
524 |
458 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
130 |
124 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
52 |
46 |
$0.00 |