| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,663 |
3,678 |
$425K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
234 |
219 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
75 |
75 |
$10K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,009 |
1,007 |
$6K |
| H0001 |
Alcohol and/or drug assessment |
392 |
392 |
$4K |
| 99051 |
|
797 |
710 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
208 |
204 |
$4K |
| 90674 |
|
123 |
123 |
$4K |
| 36410 |
|
276 |
273 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
709 |
697 |
$2K |
| 0031A |
|
20 |
20 |
$840.05 |
| 90686 |
|
30 |
30 |
$627.11 |
| 93000 |
|
15 |
15 |
$209.90 |
| 1000F |
|
160 |
160 |
$32.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
347 |
346 |
$14.00 |
| 3074F |
|
12 |
12 |
$10.00 |
| 3078F |
|
12 |
12 |
$10.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
518 |
514 |
$8.18 |
| 3016F |
|
108 |
108 |
$0.04 |
| 3725F |
|
148 |
148 |
$0.04 |
| 99000 |
|
645 |
625 |
$0.00 |
| 1101F |
|
144 |
144 |
$0.00 |
| 1036F |
|
220 |
220 |
$0.00 |
| 91303 |
|
19 |
19 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
74 |
73 |
$0.00 |
| 1100F |
|
144 |
144 |
$0.00 |
| 3288F |
|
144 |
144 |
$0.00 |