| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,966 |
8,540 |
$377K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,472 |
6,183 |
$373K |
| 99215 |
Prolong outpt/office vis |
550 |
540 |
$42K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
284 |
278 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
881 |
855 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
574 |
562 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
153 |
147 |
$12K |
| 90688 |
|
538 |
524 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
432 |
402 |
$7K |
| 93000 |
|
448 |
442 |
$5K |
| 81002 |
|
2,106 |
2,002 |
$5K |
| 82962 |
|
2,722 |
2,554 |
$5K |
| 96127 |
|
654 |
637 |
$3K |
| 92551 |
|
277 |
263 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
62 |
61 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$518.77 |
| 90662 |
|
40 |
29 |
$268.63 |
| 99497 |
|
12 |
12 |
$255.81 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
131 |
125 |
$245.20 |
| 99173 |
|
269 |
246 |
$225.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$80.86 |
| 99000 |
|
254 |
221 |
$71.18 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$32.67 |
| G0008 |
Administration of influenza virus vaccine |
42 |
32 |
$12.45 |
| 3016F |
|
1,114 |
1,060 |
$0.00 |
| 3078F |
|
441 |
409 |
$0.00 |
| 1033F |
|
1,065 |
1,009 |
$0.00 |
| 3725F |
|
295 |
281 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
31 |
29 |
$0.00 |
| 4013F |
|
82 |
79 |
$0.00 |
| 3077F |
|
19 |
18 |
$0.00 |
| 4040F |
|
13 |
13 |
$0.00 |
| 1159F |
|
26 |
23 |
$0.00 |
| 1160F |
|
22 |
20 |
$0.00 |
| 3075F |
|
93 |
89 |
$0.00 |
| 3079F |
|
287 |
274 |
$0.00 |
| 3074F |
|
631 |
590 |
$0.00 |
| 3008F |
|
1,032 |
956 |
$0.00 |
| 4010F |
|
106 |
101 |
$0.00 |
| 3017F |
|
109 |
104 |
$0.00 |
| 3014F |
|
63 |
61 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32 |
29 |
$0.00 |
| 36416 |
|
16 |
13 |
$0.00 |
| 90686 |
|
54 |
45 |
$0.00 |
| 3044F |
|
14 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
14 |
$0.00 |