| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,185 |
4,823 |
$436K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,693 |
4,680 |
$156K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,797 |
8,220 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,390 |
7,852 |
$92K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,120 |
1,118 |
$37K |
| 93000 |
|
3,105 |
3,097 |
$15K |
| 90688 |
|
755 |
754 |
$11K |
| 99442 |
|
405 |
365 |
$8K |
| 99386 |
|
130 |
130 |
$7K |
| 99385 |
|
78 |
78 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
690 |
685 |
$3K |
| 99397 |
|
123 |
123 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
996 |
994 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,350 |
7,324 |
$2K |
| 90658 |
|
195 |
194 |
$2K |
| 3078F |
|
1,767 |
1,656 |
$2K |
| 3074F |
|
1,588 |
1,486 |
$2K |
| 94010 |
|
66 |
65 |
$1K |
| 3077F |
|
647 |
602 |
$868.50 |
| 3079F |
|
593 |
563 |
$770.00 |
| 1159F |
|
4,789 |
4,740 |
$365.00 |
| 1160F |
|
4,782 |
4,733 |
$355.00 |
| 3075F |
|
268 |
263 |
$242.50 |
| 3080F |
|
122 |
113 |
$135.00 |
| 1170F |
|
169 |
168 |
$25.00 |
| H0001 |
Alcohol and/or drug assessment |
5,398 |
5,393 |
$17.81 |
| 3725F |
|
5,606 |
5,592 |
$0.00 |
| 3016F |
|
4,311 |
4,307 |
$0.00 |
| 99499 |
|
20 |
15 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
18 |
18 |
$0.00 |
| 1000F |
|
3,908 |
3,904 |
$0.00 |
| 3008F |
|
12,407 |
11,414 |
$0.00 |
| 1126F |
|
25 |
25 |
$0.00 |
| 3044F |
|
26 |
26 |
$0.00 |
| 3017F |
|
42 |
42 |
$0.00 |
| 3048F |
|
13 |
13 |
$0.00 |