| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,955 |
1,886 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
375 |
370 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
360 |
358 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
183 |
179 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
237 |
235 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
125 |
125 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
44 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
329 |
327 |
$3K |
| 90674 |
|
116 |
114 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
49 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
263 |
258 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
193 |
190 |
$2K |
| 81000 |
|
661 |
655 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
77 |
77 |
$740.88 |
| G9002 |
Coordinated care fee, maintenance rate |
29 |
28 |
$404.40 |
| 90686 |
|
24 |
23 |
$339.84 |
| 87210 |
|
80 |
80 |
$291.65 |
| 90658 |
|
19 |
19 |
$277.17 |
| 99406 |
|
25 |
24 |
$211.06 |
| 99441 |
|
29 |
29 |
$197.01 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
801 |
793 |
$0.00 |
| 3079F |
|
116 |
116 |
$0.00 |
| 3074F |
|
743 |
729 |
$0.00 |
| 3008F |
|
2,713 |
2,604 |
$0.00 |
| 1036F |
|
1,417 |
1,393 |
$0.00 |
| 3075F |
|
166 |
160 |
$0.00 |
| 3353F |
|
52 |
51 |
$0.00 |
| 1000F |
|
142 |
140 |
$0.00 |
| 3354F |
|
12 |
12 |
$0.00 |
| 3352F |
|
15 |
13 |
$0.00 |
| 3080F |
|
65 |
60 |
$0.00 |
| 1220F |
|
15 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
12 |
$0.00 |
| 4004F |
|
219 |
213 |
$0.00 |
| 3077F |
|
139 |
132 |
$0.00 |
| 3078F |
|
837 |
822 |
$0.00 |
| 3016F |
|
172 |
169 |
$0.00 |
| 3725F |
|
175 |
169 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |