| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,965 |
7,279 |
$424K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,016 |
3,222 |
$137K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
892 |
883 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
600 |
557 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
505 |
473 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
373 |
370 |
$27K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,376 |
1,328 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,037 |
1,008 |
$15K |
| 99382 |
|
193 |
192 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
93 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
111 |
$10K |
| 70300 |
|
1,516 |
1,489 |
$6K |
| 99383 |
|
77 |
77 |
$6K |
| 86580 |
|
727 |
718 |
$4K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
327 |
324 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
38 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
97 |
96 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
864 |
861 |
$1K |
| 90658 |
|
188 |
188 |
$1K |
| 3074F |
|
1,577 |
1,539 |
$685.00 |
| 90461 |
|
40 |
39 |
$381.46 |
| 3078F |
|
708 |
703 |
$245.00 |
| 97802 |
|
1,310 |
1,287 |
$210.00 |
| 90686 |
|
12 |
12 |
$159.19 |
| 97803 |
|
21 |
21 |
$30.00 |
| 99408 |
|
325 |
320 |
$10.00 |
| 99406 |
|
313 |
310 |
$0.00 |
| 2001F |
|
1,088 |
1,057 |
$0.00 |
| 90660 |
|
88 |
87 |
$0.00 |
| 1220F |
|
245 |
241 |
$0.00 |
| 3008F |
|
1,236 |
1,194 |
$0.00 |
| 4293F |
|
74 |
72 |
$0.00 |
| 1000F |
|
30 |
30 |
$0.00 |
| 2000F |
|
38 |
38 |
$0.00 |
| 3352F |
|
12 |
12 |
$0.00 |
| 3351F |
|
14 |
14 |
$0.00 |
| 1003F |
|
144 |
127 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90672 |
|
68 |
68 |
$0.00 |
| 1494F |
|
27 |
27 |
$0.00 |
| 3016F |
|
29 |
29 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |