| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,154 |
5,277 |
$285K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,344 |
1,271 |
$83K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
503 |
502 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
222 |
222 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
425 |
402 |
$10K |
| 99442 |
|
280 |
261 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
301 |
298 |
$4K |
| 99441 |
|
148 |
136 |
$3K |
| 99401 |
|
140 |
134 |
$2K |
| 90686 |
|
101 |
100 |
$2K |
| 90688 |
|
91 |
91 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
388 |
361 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
175 |
172 |
$991.10 |
| 36415 |
Collection of venous blood by venipuncture |
2,174 |
2,125 |
$829.47 |
| 92552 |
|
26 |
26 |
$474.86 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
19 |
19 |
$392.77 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
32 |
$352.26 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$324.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
18 |
18 |
$205.37 |
| 97802 |
|
180 |
178 |
$179.20 |
| 3078F |
|
78 |
74 |
$72.50 |
| 3074F |
|
64 |
62 |
$62.50 |
| 96127 |
|
55 |
55 |
$47.44 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
87 |
87 |
$0.20 |
| 0001F |
|
511 |
479 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
548 |
525 |
$0.00 |
| 3008F |
|
1,486 |
1,407 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
329 |
320 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
534 |
514 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |
| 1036F |
|
173 |
159 |
$0.00 |
| 99000 |
|
129 |
126 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
401 |
387 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
136 |
128 |
$0.00 |
| 99173 |
|
26 |
26 |
$0.00 |