| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,435 |
2,843 |
$263K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,084 |
2,486 |
$146K |
| 99442 |
|
1,311 |
1,194 |
$91K |
| 99443 |
|
437 |
416 |
$42K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
261 |
261 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
214 |
214 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
139 |
139 |
$15K |
| 90756 |
|
512 |
511 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
121 |
121 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
762 |
713 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
736 |
722 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$4K |
| 93000 |
|
291 |
290 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
286 |
286 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
261 |
261 |
$2K |
| 90750 |
|
26 |
26 |
$2K |
| 90461 |
|
71 |
70 |
$2K |
| 92551 |
|
132 |
132 |
$1K |
| 36410 |
|
781 |
769 |
$1K |
| 83013 |
|
17 |
16 |
$972.74 |
| 90686 |
|
402 |
401 |
$763.52 |
| 90674 |
|
12 |
12 |
$337.56 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
573 |
573 |
$288.00 |
| 36415 |
Collection of venous blood by venipuncture |
616 |
610 |
$186.46 |
| 81003 |
|
91 |
87 |
$171.01 |
| 83014 |
|
18 |
17 |
$120.24 |
| 3077F |
|
59 |
57 |
$118.72 |
| 99406 |
|
13 |
13 |
$92.49 |
| 3080F |
|
30 |
29 |
$63.60 |
| 99173 |
|
137 |
136 |
$54.59 |
| 96127 |
|
80 |
80 |
$46.24 |
| 3079F |
|
13 |
12 |
$25.44 |
| 3008F |
|
305 |
305 |
$0.00 |
| 3044F |
|
41 |
41 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
363 |
362 |
$0.00 |
| 1036F |
|
463 |
463 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
462 |
462 |
$0.00 |
| 1000F |
|
520 |
520 |
$0.00 |
| 4000F |
|
15 |
15 |
$0.00 |
| 99000 |
|
1,538 |
1,429 |
$0.00 |
| 4293F |
|
422 |
422 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 99429 |
|
76 |
62 |
$0.00 |
| 3050F |
|
123 |
122 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
255 |
255 |
$0.00 |
| 3016F |
|
256 |
256 |
$0.00 |
| 3725F |
|
578 |
578 |
$0.00 |
| 80061 |
Lipid panel |
59 |
58 |
$0.00 |
| 1032F |
|
17 |
17 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
87 |
87 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
18 |
18 |
$0.00 |