| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,248 |
2,310 |
$272K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,341 |
1,117 |
$171K |
| 99490 |
Ccm add 20min |
1,703 |
1,703 |
$101K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,794 |
2,441 |
$54K |
| 99491 |
Ccm add 20min |
122 |
122 |
$10K |
| 90756 |
|
198 |
198 |
$6K |
| 99439 |
|
65 |
65 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
205 |
200 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
626 |
472 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
69 |
67 |
$701.63 |
| H0049 |
Alcohol and/or drug screening |
369 |
299 |
$384.00 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
58 |
$126.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$114.22 |
| 81002 |
|
27 |
27 |
$72.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
28 |
$7.16 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
13 |
13 |
$0.00 |
| 1000F |
|
62 |
62 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
64 |
63 |
$0.00 |
| 1036F |
|
48 |
48 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
12 |
12 |
$0.00 |