| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
3,134 |
3,131 |
$46K |
| 90756 |
|
1,076 |
1,074 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,155 |
5,778 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,999 |
4,834 |
$20K |
| 99497 |
|
3,198 |
3,193 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
498 |
497 |
$6K |
| 0124A |
|
115 |
115 |
$5K |
| 90688 |
|
192 |
191 |
$4K |
| 0064A |
|
88 |
88 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
104 |
104 |
$2K |
| 96151 |
|
865 |
864 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,003 |
1,998 |
$2K |
| 90686 |
|
71 |
71 |
$2K |
| 0004A |
|
45 |
45 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,313 |
1,251 |
$1K |
| 0003A |
|
25 |
25 |
$920.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,221 |
2,165 |
$916.58 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,368 |
3,366 |
$687.20 |
| 0054A |
|
17 |
17 |
$680.00 |
| 90715 |
|
12 |
12 |
$450.72 |
| 90661 |
|
33 |
33 |
$437.33 |
| 99385 |
|
14 |
14 |
$432.30 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
115 |
$427.50 |
| 96150 |
|
123 |
123 |
$258.28 |
| 99386 |
|
12 |
12 |
$198.30 |
| 3725F |
|
1,405 |
1,402 |
$125.00 |
| 1158F |
|
640 |
640 |
$101.52 |
| 1157F |
|
653 |
653 |
$91.33 |
| 3078F |
|
1,371 |
1,334 |
$90.27 |
| 1170F |
|
1,337 |
1,334 |
$84.80 |
| 3074F |
|
1,437 |
1,405 |
$82.32 |
| 3008F |
|
2,344 |
2,282 |
$52.00 |
| 1160F |
|
1,023 |
1,023 |
$48.48 |
| 1159F |
|
1,024 |
1,024 |
$16.16 |
| 99000 |
|
42 |
42 |
$10.89 |
| 3079F |
|
441 |
436 |
$0.00 |
| 1126F |
|
999 |
993 |
$0.00 |
| 3075F |
|
227 |
221 |
$0.00 |
| 1125F |
|
230 |
225 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
68 |
67 |
$0.00 |
| 90480 |
|
14 |
14 |
$0.00 |
| 3077F |
|
71 |
69 |
$0.00 |
| 91320 |
|
14 |
14 |
$0.00 |