| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,682 |
2,181 |
$232K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,586 |
1,520 |
$200K |
| 99215 |
Prolong outpt/office vis |
124 |
123 |
$22K |
| 99497 |
|
207 |
204 |
$14K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,048 |
1,039 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
75 |
75 |
$10K |
| 93000 |
|
759 |
755 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
478 |
461 |
$7K |
| 90674 |
|
178 |
178 |
$6K |
| 99401 |
|
378 |
354 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,052 |
1,041 |
$4K |
| 97750 |
|
125 |
124 |
$3K |
| 90756 |
|
65 |
65 |
$2K |
| 99443 |
|
12 |
12 |
$1K |
| 90688 |
|
65 |
65 |
$1K |
| 99051 |
|
113 |
101 |
$699.30 |
| H0049 |
Alcohol and/or drug screening |
609 |
604 |
$648.00 |
| 90661 |
|
16 |
16 |
$620.64 |
| 0012A |
|
14 |
14 |
$600.32 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
57 |
57 |
$579.50 |
| 0013A |
|
12 |
12 |
$480.00 |
| 98968 |
|
12 |
12 |
$33.13 |
| 94760 |
|
252 |
251 |
$28.35 |
| 36415 |
Collection of venous blood by venipuncture |
1,096 |
1,072 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
69 |
69 |
$0.00 |
| 91301 |
|
26 |
26 |
$0.00 |