| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,118 |
4,030 |
$597K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
469 |
450 |
$9K |
| 99497 |
|
124 |
124 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
39 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
582 |
573 |
$5K |
| 3078F |
|
2,115 |
1,409 |
$4K |
| 3074F |
|
2,100 |
1,405 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
409 |
379 |
$4K |
| 99401 |
|
115 |
115 |
$3K |
| 90686 |
|
113 |
113 |
$2K |
| 90674 |
|
51 |
51 |
$1K |
| 90656 |
|
63 |
63 |
$1K |
| 90756 |
|
55 |
55 |
$1K |
| 0134A |
|
24 |
24 |
$1K |
| 90688 |
|
41 |
41 |
$743.99 |
| 36415 |
Collection of venous blood by venipuncture |
96 |
94 |
$547.88 |
| 3079F |
|
317 |
259 |
$497.50 |
| H0049 |
Alcohol and/or drug screening |
158 |
144 |
$407.11 |
| 3075F |
|
247 |
200 |
$392.50 |
| 91313 |
|
17 |
17 |
$40.13 |
| 3044F |
|
68 |
68 |
$20.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
165 |
160 |
$2.00 |
| 4037F |
|
197 |
197 |
$0.00 |
| 3008F |
|
133 |
131 |
$0.00 |
| 1036F |
|
93 |
92 |
$0.00 |
| 3011F |
|
111 |
111 |
$0.00 |
| 1000F |
|
97 |
96 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
92 |
91 |
$0.00 |
| 3048F |
|
14 |
14 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
172 |
109 |
$0.00 |
| 3725F |
|
241 |
233 |
$0.00 |
| 3016F |
|
97 |
96 |
$0.00 |