| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,344 |
9,232 |
$99K |
| 1159F |
|
4,522 |
3,730 |
$24K |
| 3078F |
|
6,753 |
5,158 |
$22K |
| 99499 |
|
1,257 |
1,114 |
$12K |
| 3008F |
|
6,353 |
4,698 |
$8K |
| 3079F |
|
2,094 |
1,672 |
$7K |
| 1170F |
|
836 |
781 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
434 |
410 |
$6K |
| 3074F |
|
6,350 |
4,915 |
$4K |
| 1158F |
|
1,202 |
1,056 |
$4K |
| 99442 |
|
356 |
278 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
521 |
423 |
$3K |
| 3725F |
|
1,287 |
1,170 |
$2K |
| 3075F |
|
2,150 |
1,705 |
$1K |
| 1157F |
|
475 |
433 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,372 |
1,241 |
$1K |
| 99441 |
|
119 |
86 |
$797.52 |
| 82962 |
|
721 |
604 |
$630.34 |
| 1160F |
|
4,507 |
3,719 |
$585.93 |
| 99443 |
|
24 |
21 |
$200.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
1,021 |
693 |
$123.71 |
| 1125F |
|
90 |
80 |
$113.36 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
83 |
70 |
$78.20 |
| 1126F |
|
98 |
87 |
$67.51 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
406 |
350 |
$50.00 |
| 93000 |
|
80 |
78 |
$39.33 |
| 94010 |
|
107 |
104 |
$18.31 |
| 0521F |
|
90 |
79 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| 3077F |
|
17 |
17 |
$0.00 |
| 36416 |
|
553 |
446 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
348 |
315 |
$0.00 |
| 94760 |
|
434 |
351 |
$0.00 |