| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,520 |
5,495 |
$595K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,710 |
3,072 |
$437K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
360 |
360 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
223 |
221 |
$24K |
| 93000 |
|
1,338 |
1,319 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,110 |
1,079 |
$20K |
| S9451 |
Exercise classes, non-physician provider, per session |
3,652 |
2,777 |
$16K |
| 90686 |
|
777 |
777 |
$11K |
| 3078F |
|
3,628 |
2,741 |
$8K |
| 3074F |
|
3,553 |
2,702 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
273 |
253 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
81 |
$5K |
| 97803 |
|
2,652 |
2,020 |
$4K |
| S9470 |
Nutritional counseling, dietitian visit |
1,003 |
765 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,858 |
2,821 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
935 |
919 |
$2K |
| 90756 |
|
80 |
80 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$2K |
| 90656 |
|
84 |
84 |
$2K |
| 90674 |
|
61 |
61 |
$1K |
| 90688 |
|
63 |
63 |
$1K |
| 0013A |
|
28 |
28 |
$1K |
| 3079F |
|
352 |
309 |
$772.50 |
| 3075F |
|
252 |
227 |
$492.50 |
| 82270 |
|
130 |
130 |
$443.12 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$260.22 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
321 |
319 |
$132.63 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$91.60 |
| 92551 |
|
41 |
41 |
$63.62 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
93 |
92 |
$59.25 |
| 99173 |
|
61 |
59 |
$14.65 |
| 2028F |
|
28 |
28 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
32 |
26 |
$0.00 |
| 99080 |
|
95 |
16 |
$0.00 |
| 3044F |
|
73 |
51 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
32 |
26 |
$0.00 |
| 91301 |
|
16 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |