| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,273 |
4,864 |
$24K |
| 90674 |
|
266 |
263 |
$3K |
| 94760 |
|
2,928 |
2,694 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
455 |
440 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,048 |
2,947 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
469 |
446 |
$870.76 |
| 90686 |
|
58 |
58 |
$826.97 |
| 93000 |
|
140 |
138 |
$609.67 |
| G0008 |
Administration of influenza virus vaccine |
367 |
364 |
$514.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
404 |
392 |
$498.08 |
| 99000 |
|
1,580 |
1,534 |
$369.39 |
| 90756 |
|
18 |
17 |
$202.28 |
| 3008F |
|
6,294 |
5,702 |
$197.71 |
| 90656 |
|
13 |
13 |
$169.61 |
| 3077F |
|
1,658 |
1,561 |
$137.75 |
| 82948 |
|
342 |
324 |
$126.28 |
| 3078F |
|
4,365 |
4,001 |
$43.46 |
| 3074F |
|
3,486 |
3,207 |
$37.53 |
| 96138 |
|
25 |
25 |
$30.00 |
| 3079F |
|
1,475 |
1,419 |
$11.40 |
| 96127 |
|
177 |
174 |
$10.00 |
| 3075F |
|
1,159 |
1,123 |
$9.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
264 |
263 |
$4.00 |
| 85018 |
|
24 |
24 |
$1.64 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
83 |
81 |
$1.60 |
| 3080F |
|
112 |
108 |
$1.30 |
| 1160F |
|
442 |
430 |
$1.20 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
387 |
381 |
$1.00 |
| 3017F |
|
132 |
131 |
$0.60 |
| 1090F |
|
92 |
90 |
$0.00 |
| 1003F |
|
224 |
221 |
$0.00 |
| 1159F |
|
283 |
279 |
$0.00 |
| 3725F |
|
123 |
120 |
$0.00 |
| 1158F |
|
31 |
31 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
25 |
25 |
$0.00 |
| 91300 |
|
26 |
26 |
$0.00 |
| 4013F |
|
25 |
25 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
66 |
66 |
$0.00 |
| 99397 |
|
14 |
14 |
$0.00 |
| 96160 |
|
31 |
31 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| 0004A |
|
29 |
29 |
$0.00 |
| 1170F |
|
126 |
123 |
$0.00 |
| 1220F |
|
164 |
164 |
$0.00 |
| 3048F |
|
80 |
78 |
$0.00 |
| 1101F |
|
40 |
38 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
291 |
290 |
$0.00 |
| 3061F |
|
26 |
25 |
$0.00 |
| 4010F |
|
64 |
62 |
$0.00 |
| 1125F |
|
14 |
14 |
$0.00 |