| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,897 |
13,656 |
$865K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,272 |
1,242 |
$112K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
934 |
915 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
835 |
763 |
$55K |
| 99490 |
Ccm add 20min |
1,119 |
1,078 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,499 |
1,448 |
$18K |
| 90686 |
|
688 |
677 |
$12K |
| 90658 |
|
350 |
350 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
270 |
267 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
62 |
$5K |
| 99385 |
|
24 |
24 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
44 |
$2K |
| 90674 |
|
76 |
67 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
112 |
65 |
$2K |
| 90746 |
|
25 |
25 |
$1K |
| 99442 |
|
72 |
72 |
$1K |
| 82962 |
|
686 |
601 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$839.08 |
| 82948 |
|
182 |
155 |
$510.75 |
| 90677 |
|
23 |
18 |
$498.66 |
| G0008 |
Administration of influenza virus vaccine |
87 |
71 |
$204.43 |
| 93000 |
|
12 |
12 |
$174.47 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
32 |
31 |
$50.01 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$37.84 |
| 3074F |
|
394 |
322 |
$28.00 |
| 3078F |
|
414 |
340 |
$26.00 |
| 3044F |
|
293 |
234 |
$15.00 |
| 3079F |
|
139 |
115 |
$12.00 |
| 3077F |
|
118 |
94 |
$11.00 |
| 3075F |
|
109 |
89 |
$7.00 |
| 3080F |
|
36 |
27 |
$2.00 |
| 3051F |
|
21 |
13 |
$2.00 |
| 3008F |
|
2,199 |
1,667 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
266 |
209 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
13 |
$0.00 |
| 3048F |
|
182 |
149 |
$0.00 |
| 3049F |
|
25 |
25 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
16 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,052 |
820 |
$0.00 |
| 3050F |
|
108 |
85 |
$0.00 |