| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,711 |
30,138 |
$3.85M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,238 |
3,235 |
$415K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,806 |
2,764 |
$351K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,825 |
1,824 |
$218K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,692 |
1,642 |
$100K |
| 90756 |
|
2,939 |
2,932 |
$85K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,604 |
4,523 |
$79K |
| 93000 |
|
5,425 |
5,414 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
271 |
270 |
$32K |
| 82274 |
|
1,943 |
1,931 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,242 |
1,152 |
$25K |
| 36410 |
|
6,157 |
6,068 |
$14K |
| 99401 |
|
404 |
404 |
$13K |
| 90688 |
|
699 |
697 |
$10K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,239 |
1,239 |
$9K |
| H0001 |
Alcohol and/or drug assessment |
1,439 |
1,439 |
$9K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,784 |
1,782 |
$8K |
| 0064A |
|
162 |
162 |
$7K |
| 90674 |
|
178 |
178 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
143 |
142 |
$4K |
| 90658 |
|
198 |
198 |
$4K |
| 99406 |
|
149 |
147 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$2K |
| 99497 |
|
34 |
34 |
$1K |
| 97802 |
|
1,474 |
1,464 |
$781.24 |
| 90656 |
|
31 |
31 |
$417.30 |
| 90686 |
|
230 |
229 |
$416.94 |
| 3078F |
|
152 |
151 |
$412.50 |
| 3074F |
|
114 |
113 |
$295.00 |
| 86580 |
|
28 |
25 |
$266.40 |
| 90649 |
|
12 |
12 |
$182.45 |
| 1100F |
|
28 |
28 |
$84.44 |
| 3075F |
|
12 |
12 |
$30.00 |
| 91306 |
|
151 |
151 |
$15.33 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
70 |
$8.10 |
| 3008F |
|
927 |
921 |
$0.08 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,266 |
1,266 |
$0.01 |
| 1159F |
|
33 |
33 |
$0.00 |
| 3016F |
|
738 |
738 |
$0.00 |
| 3725F |
|
777 |
777 |
$0.00 |
| 99001 |
|
20 |
20 |
$0.00 |
| 1158F |
|
33 |
33 |
$0.00 |
| 1160F |
|
33 |
33 |
$0.00 |
| 4004F |
|
14 |
14 |
$0.00 |
| 90672 |
|
81 |
81 |
$0.00 |
| 1170F |
|
33 |
33 |
$0.00 |
| 1125F |
|
33 |
33 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
491 |
491 |
$0.00 |
| 1036F |
|
647 |
647 |
$0.00 |
| 1000F |
|
598 |
598 |
$0.00 |
| 1157F |
|
33 |
33 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
241 |
241 |
$0.00 |