| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,063 |
5,739 |
$51K |
| 90686 |
|
1,175 |
1,172 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,869 |
1,856 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,513 |
1,461 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
103 |
$3K |
| 90688 |
|
267 |
267 |
$3K |
| 0124A |
|
48 |
48 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
230 |
228 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
4,922 |
4,896 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
171 |
171 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
236 |
235 |
$786.52 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
214 |
209 |
$540.70 |
| 0154A |
|
12 |
12 |
$440.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
100 |
$222.59 |
| 96127 |
|
742 |
741 |
$217.47 |
| 90674 |
|
18 |
18 |
$179.85 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$163.99 |
| 3074F |
|
63 |
62 |
$52.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$45.00 |
| 3078F |
|
39 |
39 |
$27.50 |
| 91312 |
|
29 |
29 |
$0.03 |
| S9451 |
Exercise classes, non-physician provider, per session |
559 |
558 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
465 |
464 |
$0.00 |
| 3044F |
|
44 |
44 |
$0.00 |
| 1000F |
|
17 |
17 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
36 |
36 |
$0.00 |
| 4293F |
|
17 |
17 |
$0.00 |
| 1220F |
|
17 |
17 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,984 |
1,796 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
539 |
539 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
27 |
27 |
$0.00 |
| 3016F |
|
16 |
16 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$0.00 |