| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,308 |
7,193 |
$731K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
699 |
697 |
$92K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
360 |
360 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,030 |
1,006 |
$17K |
| 90756 |
|
602 |
602 |
$17K |
| 90674 |
|
195 |
195 |
$6K |
| 0012A |
|
143 |
143 |
$6K |
| 0011A |
|
134 |
134 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,588 |
2,564 |
$3K |
| 90661 |
|
62 |
62 |
$2K |
| 0013A |
|
16 |
16 |
$678.04 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
64 |
64 |
$0.00 |
| 3288F |
|
26 |
26 |
$0.00 |
| 80061 |
Lipid panel |
75 |
75 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
64 |
64 |
$0.00 |
| 2014F |
|
27 |
27 |
$0.00 |
| 77080 |
|
13 |
13 |
$0.00 |
| 1100F |
|
26 |
26 |
$0.00 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
90 |
90 |
$0.00 |
| 1101F |
|
26 |
26 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
100 |
100 |
$0.00 |
| 1022F |
|
27 |
27 |
$0.00 |
| 87340 |
|
76 |
76 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
64 |
64 |
$0.00 |
| 86592 |
|
67 |
67 |
$0.00 |
| 1000F |
|
27 |
27 |
$0.00 |
| 91301 |
|
226 |
216 |
$0.00 |
| 1220F |
|
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
70 |
67 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |