| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,279 |
3,744 |
$287K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,612 |
2,533 |
$232K |
| 99401 |
|
1,531 |
1,517 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
358 |
353 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
428 |
428 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
47 |
47 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
19 |
19 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
136 |
136 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21 |
21 |
$1K |
| 90658 |
|
107 |
107 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
52 |
51 |
$851.88 |
| 93000 |
|
52 |
52 |
$644.92 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
34 |
34 |
$641.14 |
| 86580 |
|
95 |
92 |
$553.33 |
| 97802 |
|
79 |
79 |
$514.38 |
| 90756 |
|
16 |
16 |
$447.65 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$143.96 |
| 99173 |
|
32 |
32 |
$22.68 |
| 96127 |
|
53 |
53 |
$4.08 |
| 3078F |
|
408 |
334 |
$2.50 |
| 3074F |
|
532 |
442 |
$2.50 |
| 3725F |
|
73 |
73 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
82 |
82 |
$0.00 |
| 3077F |
|
27 |
24 |
$0.00 |
| 3075F |
|
16 |
15 |
$0.00 |
| 3008F |
|
780 |
651 |
$0.00 |
| 3079F |
|
192 |
181 |
$0.00 |
| 1000F |
|
12 |
12 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
92 |
92 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
15 |
15 |
$0.00 |