| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,412 |
8,707 |
$619K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,138 |
3,997 |
$381K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,578 |
1,578 |
$200K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,020 |
1,020 |
$122K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,985 |
2,897 |
$55K |
| 90674 |
|
1,808 |
1,808 |
$53K |
| 90651 |
|
149 |
149 |
$41K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,119 |
3,119 |
$40K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,123 |
2,123 |
$26K |
| 99442 |
|
196 |
184 |
$14K |
| 93000 |
|
1,073 |
1,073 |
$13K |
| 90686 |
|
409 |
409 |
$8K |
| 99401 |
|
209 |
207 |
$7K |
| 99441 |
|
134 |
128 |
$6K |
| 0064A |
|
57 |
57 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,360 |
4,309 |
$2K |
| 0011A |
|
45 |
45 |
$2K |
| 0012A |
|
43 |
43 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
49 |
49 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,413 |
1,413 |
$383.66 |
| 90656 |
|
23 |
23 |
$365.75 |
| 3078F |
|
155 |
143 |
$337.50 |
| 1160F |
|
2,238 |
2,238 |
$75.00 |
| 1159F |
|
2,240 |
2,240 |
$75.00 |
| 3079F |
|
28 |
25 |
$60.00 |
| 3077F |
|
29 |
26 |
$57.50 |
| 3074F |
|
15 |
13 |
$27.50 |
| 3044F |
|
41 |
41 |
$20.00 |
| 99051 |
|
27 |
26 |
$13.02 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
265 |
265 |
$1.31 |
| 91301 |
|
110 |
110 |
$0.03 |
| 3008F |
|
2,934 |
2,933 |
$0.00 |
| 1000F |
|
2,684 |
2,684 |
$0.00 |
| 1036F |
|
2,264 |
2,264 |
$0.00 |
| 3351F |
|
941 |
941 |
$0.00 |
| 91306 |
|
57 |
57 |
$0.00 |
| 99429 |
|
340 |
291 |
$0.00 |
| 1220F |
|
972 |
972 |
$0.00 |
| 3049F |
|
37 |
37 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
172 |
172 |
$0.00 |
| 3725F |
|
1,803 |
1,803 |
$0.00 |
| 3050F |
|
13 |
13 |
$0.00 |