| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,271 |
21,485 |
$2.67M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,747 |
1,745 |
$230K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,221 |
1,220 |
$151K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
339 |
339 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,032 |
2,018 |
$34K |
| 90756 |
|
906 |
906 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
123 |
123 |
$15K |
| 90674 |
|
293 |
293 |
$10K |
| 90746 |
|
143 |
143 |
$10K |
| 0064A |
|
75 |
75 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
149 |
143 |
$2K |
| 0012A |
|
55 |
55 |
$2K |
| 0011A |
|
55 |
55 |
$2K |
| 90658 |
|
115 |
113 |
$1K |
| 90688 |
|
67 |
67 |
$1K |
| 90656 |
|
25 |
25 |
$543.82 |
| 0071A |
|
12 |
12 |
$500.16 |
| 0031A |
|
12 |
12 |
$483.39 |
| 90686 |
|
77 |
77 |
$90.71 |
| H0001 |
Alcohol and/or drug assessment |
200 |
200 |
$30.00 |
| 3725F |
|
563 |
561 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
58 |
57 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
37 |
37 |
$0.00 |
| 99401 |
|
13 |
13 |
$0.00 |
| 97802 |
|
181 |
181 |
$0.00 |
| 96127 |
|
119 |
117 |
$0.00 |
| 1000F |
|
556 |
555 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
978 |
971 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
788 |
787 |
$0.00 |
| 1036F |
|
473 |
473 |
$0.00 |
| 91301 |
|
107 |
107 |
$0.00 |
| 91307 |
|
25 |
25 |
$0.00 |
| 99406 |
|
43 |
43 |
$0.00 |
| 91306 |
|
73 |
73 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |