| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,579 |
9,706 |
$905K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,319 |
3,035 |
$352K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
329 |
329 |
$37K |
| 92552 |
|
805 |
804 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
409 |
403 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
111 |
111 |
$12K |
| 94010 |
|
339 |
328 |
$11K |
| 93000 |
|
641 |
638 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
85 |
$9K |
| 92567 |
|
581 |
567 |
$8K |
| 99215 |
Prolong outpt/office vis |
61 |
61 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
272 |
269 |
$4K |
| 99406 |
|
314 |
279 |
$4K |
| 90688 |
|
215 |
215 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
25 |
$2K |
| 92560 |
|
631 |
628 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
43 |
42 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,574 |
2,486 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
80 |
79 |
$753.29 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
81 |
80 |
$739.04 |
| 81002 |
|
127 |
126 |
$415.93 |
| 90658 |
|
34 |
34 |
$390.24 |
| 85018 |
|
106 |
105 |
$261.33 |
| 99173 |
|
888 |
884 |
$72.75 |
| 90686 |
|
118 |
114 |
$0.00 |
| 36416 |
|
49 |
48 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |