| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,652 |
5,042 |
$559K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
463 |
463 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
954 |
930 |
$20K |
| 90688 |
|
529 |
528 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
2,162 |
2,132 |
$9K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,072 |
1,055 |
$6K |
| 94010 |
|
121 |
120 |
$5K |
| 90686 |
|
187 |
187 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
237 |
233 |
$3K |
| 93000 |
|
135 |
133 |
$2K |
| 3078F |
|
1,592 |
1,352 |
$900.00 |
| 3074F |
|
1,620 |
1,386 |
$860.00 |
| 0013A |
|
14 |
14 |
$590.90 |
| 90658 |
|
31 |
31 |
$552.02 |
| 90656 |
|
25 |
25 |
$498.99 |
| H0001 |
Alcohol and/or drug assessment |
182 |
182 |
$80.91 |
| 91301 |
|
14 |
14 |
$0.14 |
| 99072 |
|
178 |
162 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
84 |
84 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
66 |
66 |
$0.00 |
| 3075F |
|
25 |
24 |
$0.00 |
| 3079F |
|
47 |
44 |
$0.00 |