| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,598 |
21,728 |
$1.94M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
793 |
793 |
$98K |
| 90750 |
|
592 |
592 |
$62K |
| 90651 |
|
165 |
165 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
383 |
383 |
$45K |
| 90674 |
|
1,870 |
1,866 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
719 |
701 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,474 |
2,347 |
$34K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
704 |
684 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,784 |
3,233 |
$23K |
| 99307 |
|
1,031 |
462 |
$23K |
| G0008 |
Administration of influenza virus vaccine |
1,677 |
1,673 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
225 |
222 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
140 |
140 |
$21K |
| 93000 |
|
1,769 |
1,739 |
$18K |
| 91322 |
|
383 |
383 |
$16K |
| 0012A |
|
258 |
258 |
$10K |
| 0011A |
|
297 |
297 |
$10K |
| 0064A |
|
340 |
339 |
$9K |
| 3078F |
|
13,824 |
9,368 |
$6K |
| 0134A |
|
278 |
278 |
$6K |
| 3074F |
|
12,103 |
8,300 |
$6K |
| 99336 |
|
273 |
249 |
$5K |
| 90480 |
|
383 |
383 |
$5K |
| 99497 |
|
391 |
390 |
$5K |
| 99490 |
Ccm add 20min |
562 |
548 |
$5K |
| 90661 |
|
373 |
372 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
66 |
66 |
$4K |
| 90756 |
|
178 |
177 |
$3K |
| 90670 |
|
64 |
64 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
59 |
57 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
14 |
$2K |
| 3075F |
|
2,824 |
2,215 |
$2K |
| 90732 |
|
53 |
53 |
$1K |
| 3079F |
|
1,816 |
1,466 |
$1K |
| 1170F |
|
13,715 |
9,233 |
$1K |
| G0009 |
Administration of pneumococcal vaccine |
198 |
198 |
$1K |
| 1159F |
|
13,591 |
9,164 |
$1K |
| 1160F |
|
13,597 |
9,161 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
52 |
37 |
$1K |
| 99397 |
|
52 |
52 |
$1K |
| 90679 |
|
279 |
279 |
$987.14 |
| 90686 |
|
56 |
56 |
$978.06 |
| 90715 |
|
28 |
28 |
$898.18 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
718 |
717 |
$704.39 |
| 1125F |
|
5,143 |
3,952 |
$601.00 |
| 3077F |
|
684 |
591 |
$541.50 |
| 90688 |
|
37 |
37 |
$479.25 |
| 99495 |
|
36 |
34 |
$375.54 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
96 |
96 |
$271.20 |
| 0513F |
|
116 |
89 |
$40.00 |
| 3044F |
|
832 |
817 |
$20.00 |
| 3050F |
|
827 |
808 |
$0.00 |
| 91313 |
|
272 |
272 |
$0.00 |
| 3051F |
|
15 |
15 |
$0.00 |
| 3048F |
|
1,879 |
1,843 |
$0.00 |
| 3049F |
|
1,035 |
1,007 |
$0.00 |
| 3011F |
|
2,659 |
2,596 |
$0.00 |
| 91301 |
|
718 |
689 |
$0.00 |
| 91306 |
|
469 |
468 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
90 |
83 |
$0.00 |
| 1157F |
|
174 |
115 |
$0.00 |
| 3008F |
|
2,025 |
1,340 |
$0.00 |
| 3014F |
|
46 |
44 |
$0.00 |
| 3017F |
|
13 |
13 |
$0.00 |