| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,627 |
3,586 |
$377K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
515 |
507 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
205 |
205 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
991 |
948 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
132 |
132 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
260 |
247 |
$13K |
| 92587 |
|
844 |
842 |
$13K |
| 96127 |
|
1,094 |
1,085 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
504 |
504 |
$6K |
| 90620 |
|
40 |
40 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
207 |
104 |
$2K |
| 81002 |
|
831 |
822 |
$2K |
| 86580 |
|
252 |
250 |
$2K |
| 0072A |
|
16 |
16 |
$673.92 |
| 90656 |
|
343 |
342 |
$620.66 |
| 90686 |
|
100 |
100 |
$425.20 |
| 99401 |
|
883 |
880 |
$354.06 |
| 85018 |
|
48 |
48 |
$73.92 |
| 99173 |
|
783 |
783 |
$25.06 |
| G9275 |
Documentation that patient is a current non-tobacco user |
406 |
406 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
472 |
472 |
$0.00 |
| 97802 |
|
454 |
450 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
422 |
422 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
349 |
348 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 91307 |
|
23 |
19 |
$0.00 |
| 90660 |
|
21 |
21 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
406 |
406 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
1,015 |
1,011 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
78 |
76 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |