| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,497 |
5,609 |
$330K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
657 |
609 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
169 |
169 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
64 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,572 |
891 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
630 |
609 |
$3K |
| 93000 |
|
548 |
544 |
$3K |
| 90756 |
|
481 |
473 |
$3K |
| 99490 |
Ccm add 20min |
152 |
147 |
$2K |
| 3078F |
|
3,034 |
1,712 |
$2K |
| 3074F |
|
2,046 |
1,288 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
376 |
376 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
396 |
395 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
34 |
$1K |
| 99454 |
|
169 |
163 |
$1K |
| 99397 |
|
329 |
328 |
$947.42 |
| 36410 |
|
1,306 |
1,293 |
$874.18 |
| 99457 |
|
170 |
163 |
$527.38 |
| 3075F |
|
1,106 |
870 |
$517.34 |
| 81003 |
|
1,050 |
1,040 |
$415.71 |
| 90674 |
|
46 |
46 |
$297.24 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,335 |
719 |
$73.35 |
| 3080F |
|
33 |
30 |
$30.51 |
| 3079F |
|
430 |
363 |
$29.18 |
| 3044F |
|
544 |
538 |
$27.04 |
| 3077F |
|
372 |
303 |
$15.59 |
| 1170F |
|
270 |
270 |
$13.56 |
| 1125F |
|
255 |
254 |
$13.56 |
| 1159F |
|
270 |
270 |
$13.56 |
| 1160F |
|
269 |
269 |
$13.56 |
| G9275 |
Documentation that patient is a current non-tobacco user |
373 |
372 |
$12.00 |
| 3048F |
|
386 |
383 |
$9.69 |
| 99000 |
|
1,470 |
1,447 |
$6.32 |
| 3049F |
|
192 |
192 |
$5.44 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
399 |
398 |
$3.15 |
| 3050F |
|
91 |
90 |
$2.89 |
| 1157F |
|
270 |
270 |
$2.00 |
| 1158F |
|
270 |
270 |
$2.00 |
| 94760 |
|
13 |
13 |
$0.02 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
372 |
371 |
$0.02 |
| 1036F |
|
393 |
392 |
$0.00 |
| 1000F |
|
393 |
392 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
269 |
269 |
$0.00 |
| 99606 |
|
269 |
269 |
$0.00 |
| J3590 |
Unclassified biologics |
12 |
12 |
$0.00 |
| 90863 |
|
270 |
270 |
$0.00 |
| 3016F |
|
392 |
391 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
31 |
31 |
$0.00 |
| 3725F |
|
398 |
397 |
$0.00 |
| 99605 |
|
49 |
49 |
$0.00 |