| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,326 |
6,715 |
$857K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
558 |
551 |
$70K |
| 90651 |
|
148 |
147 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,655 |
1,594 |
$31K |
| 90750 |
|
112 |
110 |
$19K |
| 90688 |
|
743 |
735 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
106 |
$12K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
375 |
375 |
$7K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
321 |
321 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,266 |
2,172 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$3K |
| 90756 |
|
102 |
102 |
$3K |
| 99406 |
|
102 |
102 |
$2K |
| 90656 |
|
64 |
63 |
$1K |
| 90658 |
|
67 |
66 |
$1K |
| 99401 |
|
26 |
26 |
$885.06 |
| 3074F |
|
317 |
293 |
$656.00 |
| 3078F |
|
297 |
275 |
$566.00 |
| 36410 |
|
26 |
26 |
$483.08 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
39 |
35 |
$186.66 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$161.28 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
215 |
215 |
$93.60 |
| 90687 |
|
15 |
15 |
$58.63 |
| 3008F |
|
219 |
195 |
$0.01 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
198 |
176 |
$0.00 |
| 99000 |
|
101 |
92 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
34 |
33 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
77 |
69 |
$0.00 |
| 1036F |
|
34 |
33 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
18 |
18 |
$0.00 |
| 1000F |
|
34 |
33 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
17 |
17 |
$0.00 |
| 3725F |
|
221 |
220 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
197 |
175 |
$0.00 |
| 99408 |
|
26 |
26 |
$0.00 |
| 3016F |
|
18 |
18 |
$0.00 |