| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,163 |
5,002 |
$467K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,751 |
3,970 |
$277K |
| 92552 |
|
3,092 |
2,904 |
$76K |
| H0001 |
Alcohol and/or drug assessment |
2,802 |
2,128 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
276 |
255 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,270 |
1,195 |
$21K |
| 93000 |
|
855 |
827 |
$10K |
| 90674 |
|
326 |
326 |
$8K |
| 99406 |
|
1,335 |
1,198 |
$7K |
| 81000 |
|
2,368 |
2,156 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
77 |
$6K |
| 3078F |
|
2,757 |
2,105 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
190 |
183 |
$6K |
| 3074F |
|
2,730 |
2,082 |
$6K |
| 99497 |
|
198 |
168 |
$4K |
| 99408 |
|
752 |
706 |
$2K |
| 90686 |
|
192 |
190 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
246 |
221 |
$2K |
| 90688 |
|
111 |
107 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,981 |
2,756 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 81003 |
|
713 |
646 |
$1K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
467 |
400 |
$979.50 |
| 90658 |
|
56 |
56 |
$973.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
77 |
75 |
$787.50 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
574 |
553 |
$767.85 |
| 90632 |
|
12 |
12 |
$718.05 |
| 96127 |
|
859 |
722 |
$625.83 |
| 99490 |
Ccm add 20min |
25 |
24 |
$598.49 |
| 99051 |
|
265 |
256 |
$549.67 |
| G9275 |
Documentation that patient is a current non-tobacco user |
399 |
360 |
$458.50 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
336 |
319 |
$361.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
156 |
153 |
$262.85 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
293 |
215 |
$147.00 |
| 99050 |
|
14 |
14 |
$25.82 |
| 99173 |
|
30 |
30 |
$0.00 |
| 3725F |
|
25 |
25 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
26 |
26 |
$0.00 |
| 99072 |
|
13 |
12 |
$0.00 |
| 3016F |
|
103 |
89 |
$0.00 |
| 3008F |
|
255 |
233 |
$0.00 |
| 1000F |
|
69 |
65 |
$0.00 |
| 99429 |
|
53 |
39 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 97802 |
|
17 |
13 |
$0.00 |
| 3017F |
|
36 |
31 |
$0.00 |