| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,458 |
6,174 |
$393K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,086 |
5,214 |
$292K |
| 0002A |
|
397 |
377 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
762 |
721 |
$14K |
| 0001A |
|
380 |
361 |
$14K |
| 90686 |
|
868 |
840 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
3,728 |
3,587 |
$7K |
| 0003A |
|
192 |
189 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
32 |
32 |
$4K |
| 0013A |
|
86 |
86 |
$3K |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
46 |
45 |
$1K |
| 0124A |
|
30 |
28 |
$1K |
| 90688 |
|
158 |
154 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 0072A |
|
15 |
13 |
$817.11 |
| 90656 |
|
58 |
57 |
$759.90 |
| 0071A |
|
14 |
13 |
$737.70 |
| 0012A |
|
19 |
17 |
$700.06 |
| 0134A |
|
17 |
17 |
$555.93 |
| 0011A |
|
12 |
12 |
$494.16 |
| 0004A |
|
12 |
12 |
$329.44 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
28 |
28 |
$318.92 |
| 99406 |
|
12 |
12 |
$97.76 |
| 91307 |
|
43 |
36 |
$0.01 |
| 91300 |
|
1,043 |
888 |
$0.00 |
| 91312 |
|
30 |
28 |
$0.00 |
| 91313 |
|
19 |
19 |
$0.00 |
| 3051F |
|
14 |
13 |
$0.00 |
| 3044F |
|
159 |
145 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
354 |
354 |
$0.00 |
| 91301 |
|
116 |
115 |
$0.00 |