| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,100 |
16,334 |
$763K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,796 |
3,705 |
$59K |
| 99403 |
|
1,745 |
1,744 |
$45K |
| 99402 |
|
1,320 |
1,318 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,134 |
1,122 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
317 |
317 |
$11K |
| 90688 |
|
899 |
897 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
108 |
108 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
363 |
363 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
61 |
$6K |
| 99441 |
|
152 |
146 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
300 |
299 |
$4K |
| 90686 |
|
1,225 |
1,221 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
117 |
116 |
$3K |
| 99401 |
|
330 |
330 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
7,658 |
7,514 |
$3K |
| 90658 |
|
161 |
161 |
$2K |
| 97802 |
|
651 |
650 |
$2K |
| 90656 |
|
238 |
238 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
671 |
669 |
$1K |
| 3074F |
|
835 |
727 |
$812.50 |
| 3079F |
|
763 |
667 |
$625.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
179 |
179 |
$500.00 |
| 90685 |
|
52 |
52 |
$20.34 |
| 90461 |
|
54 |
54 |
$0.00 |
| 3008F |
|
1,167 |
1,106 |
$0.00 |
| 3080F |
|
18 |
15 |
$0.00 |
| 90651 |
|
30 |
30 |
$0.00 |
| 96127 |
|
31 |
31 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
15 |
15 |
$0.00 |