| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,080 |
7,573 |
$799K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,539 |
1,534 |
$176K |
| 99442 |
|
1,749 |
1,589 |
$160K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,211 |
1,196 |
$151K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,181 |
1,849 |
$114K |
| 92552 |
|
2,151 |
2,143 |
$72K |
| 93000 |
|
2,629 |
2,540 |
$39K |
| 94375 |
|
758 |
752 |
$31K |
| 99441 |
|
517 |
492 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,468 |
1,435 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
172 |
171 |
$19K |
| 99443 |
|
104 |
104 |
$13K |
| 90756 |
|
411 |
411 |
$11K |
| 99173 |
|
444 |
441 |
$9K |
| 90688 |
|
362 |
362 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
395 |
392 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,654 |
1,600 |
$6K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
268 |
267 |
$5K |
| 90674 |
|
164 |
164 |
$4K |
| 36410 |
|
199 |
195 |
$4K |
| 90686 |
|
169 |
169 |
$4K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
112 |
112 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
672 |
662 |
$2K |
| 99050 |
|
204 |
175 |
$2K |
| 90658 |
|
74 |
73 |
$1K |
| 94010 |
|
28 |
28 |
$704.08 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
13 |
13 |
$234.71 |
| 1160F |
|
591 |
590 |
$20.00 |
| 1159F |
|
591 |
590 |
$20.00 |
| 1170F |
|
217 |
217 |
$10.00 |
| 3725F |
|
532 |
528 |
$0.00 |
| 99072 |
|
114 |
102 |
$0.00 |