| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,184 |
2,050 |
$289K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
91 |
81 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
290 |
265 |
$5K |
| 90674 |
|
137 |
137 |
$4K |
| 99051 |
|
389 |
316 |
$2K |
| 0013A |
|
38 |
38 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
107 |
106 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
70 |
63 |
$905.34 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
105 |
105 |
$613.65 |
| 0012A |
|
14 |
14 |
$597.44 |
| 0011A |
|
14 |
14 |
$567.79 |
| 0003A |
|
12 |
12 |
$511.68 |
| 0031A |
|
12 |
12 |
$511.68 |
| 90688 |
|
17 |
17 |
$295.67 |
| H0049 |
Alcohol and/or drug screening |
103 |
103 |
$240.24 |
| 83014 |
|
12 |
12 |
$84.84 |
| 93000 |
|
13 |
12 |
$67.72 |
| 36415 |
Collection of venous blood by venipuncture |
117 |
117 |
$47.95 |
| 99408 |
|
105 |
105 |
$42.59 |
| 91300 |
|
14 |
12 |
$0.01 |
| 91301 |
|
101 |
95 |
$0.01 |
| 99072 |
|
125 |
84 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
57 |
57 |
$0.00 |