| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,312 |
2,275 |
$296K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,512 |
3,373 |
$285K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
770 |
758 |
$92K |
| 92552 |
|
2,223 |
2,217 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,083 |
1,055 |
$60K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,595 |
2,543 |
$47K |
| 90686 |
|
1,219 |
1,219 |
$24K |
| 90674 |
|
433 |
433 |
$13K |
| 81002 |
|
4,935 |
4,899 |
$12K |
| 94010 |
|
334 |
332 |
$12K |
| 91320 |
|
153 |
153 |
$12K |
| 3074F |
|
4,847 |
4,425 |
$10K |
| 3078F |
|
4,617 |
4,224 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
283 |
257 |
$7K |
| 0013A |
|
155 |
155 |
$6K |
| 93000 |
|
393 |
388 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,359 |
4,265 |
$5K |
| 0134A |
|
124 |
123 |
$4K |
| 90682 |
|
77 |
77 |
$4K |
| 92551 |
|
416 |
416 |
$4K |
| 90480 |
|
153 |
153 |
$4K |
| 3079F |
|
1,903 |
1,799 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
4,891 |
4,835 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
71 |
61 |
$3K |
| 3075F |
|
1,429 |
1,375 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
887 |
872 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
21 |
$2K |
| 3077F |
|
874 |
814 |
$2K |
| 3080F |
|
574 |
543 |
$2K |
| 0031A |
|
43 |
43 |
$2K |
| 90661 |
|
34 |
34 |
$1K |
| 90656 |
|
54 |
54 |
$1K |
| 91313 |
|
118 |
118 |
$987.83 |
| 0012A |
|
12 |
12 |
$505.76 |
| 0011A |
|
12 |
12 |
$505.76 |
| 90662 |
|
53 |
53 |
$379.53 |
| 99441 |
|
20 |
19 |
$302.49 |
| G0008 |
Administration of influenza virus vaccine |
67 |
67 |
$93.63 |
| 91301 |
|
114 |
114 |
$5.19 |
| G9275 |
Documentation that patient is a current non-tobacco user |
3,435 |
3,376 |
$0.20 |
| 91303 |
|
28 |
28 |
$0.04 |
| 3725F |
|
4,821 |
4,709 |
$0.00 |
| 1032F |
|
25 |
25 |
$0.00 |
| 2022F |
|
49 |
47 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
25 |
25 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,612 |
1,592 |
$0.00 |
| 1000F |
|
3,766 |
3,699 |
$0.00 |
| 1036F |
|
3,432 |
3,372 |
$0.00 |
| 3017F |
|
1,122 |
1,065 |
$0.00 |
| 99429 |
|
210 |
203 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
29 |
$0.00 |
| 3014F |
|
157 |
154 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
126 |
124 |
$0.00 |