| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,835 |
10,435 |
$693K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,642 |
5,950 |
$568K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
321 |
308 |
$32K |
| 90837 |
Psychotherapy, 53 minutes with patient |
367 |
181 |
$32K |
| 94760 |
|
12,252 |
10,426 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
318 |
307 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,135 |
1,082 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
180 |
175 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
4,253 |
4,061 |
$12K |
| 99215 |
Prolong outpt/office vis |
80 |
70 |
$9K |
| 99000 |
|
3,092 |
2,892 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
38 |
$6K |
| 90686 |
|
429 |
412 |
$5K |
| 90688 |
|
395 |
378 |
$4K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
152 |
144 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
331 |
308 |
$3K |
| 96127 |
|
150 |
145 |
$2K |
| 0064A |
|
15 |
15 |
$617.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
40 |
$600.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
37 |
$568.32 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$201.42 |
| 99001 |
|
13 |
12 |
$0.00 |
| 91306 |
|
15 |
15 |
$0.00 |