| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,320 |
31,686 |
$3.73M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,430 |
3,426 |
$431K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,740 |
2,739 |
$321K |
| 90651 |
|
1,381 |
1,380 |
$282K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,593 |
11,884 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,089 |
1,055 |
$152K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,102 |
1,102 |
$125K |
| 90674 |
|
3,056 |
3,056 |
$84K |
| H0049 |
Alcohol and/or drug screening |
11,101 |
11,015 |
$80K |
| 93000 |
|
5,322 |
5,314 |
$66K |
| 90750 |
|
356 |
356 |
$65K |
| 94060 |
|
968 |
962 |
$58K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
10,996 |
10,935 |
$42K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,776 |
8,730 |
$38K |
| 90715 |
|
978 |
977 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
761 |
700 |
$34K |
| 90688 |
|
1,718 |
1,718 |
$30K |
| 90756 |
|
928 |
928 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
154 |
154 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,001 |
955 |
$15K |
| 99051 |
|
2,584 |
2,191 |
$15K |
| 90686 |
|
1,917 |
1,916 |
$12K |
| 0011A |
|
270 |
270 |
$11K |
| 83013 |
|
176 |
176 |
$11K |
| 0012A |
|
255 |
255 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
93 |
93 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
12,105 |
12,005 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
456 |
452 |
$8K |
| 0134A |
|
112 |
112 |
$5K |
| 90679 |
|
13 |
13 |
$4K |
| 99406 |
|
389 |
375 |
$4K |
| 90746 |
|
28 |
28 |
$2K |
| 90661 |
|
48 |
48 |
$2K |
| 0124A |
|
40 |
40 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
124 |
$1K |
| 83014 |
|
164 |
164 |
$1K |
| 3074F |
|
379 |
373 |
$1K |
| 3079F |
|
279 |
275 |
$742.50 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
34 |
34 |
$614.46 |
| 86580 |
|
73 |
68 |
$593.21 |
| 3078F |
|
143 |
142 |
$432.50 |
| 90658 |
|
14 |
14 |
$296.66 |
| 3075F |
|
67 |
67 |
$180.00 |
| 94010 |
|
867 |
862 |
$142.29 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
40 |
40 |
$90.48 |
| 90734 |
|
217 |
217 |
$85.00 |
| 90744 |
|
29 |
29 |
$53.80 |
| 91313 |
|
109 |
109 |
$0.83 |
| 91301 |
|
538 |
526 |
$0.45 |
| 91312 |
|
39 |
39 |
$0.34 |
| 99080 |
|
97 |
28 |
$0.00 |
| 99429 |
|
267 |
225 |
$0.00 |