| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
972 |
968 |
$15K |
| 96156 |
|
1,387 |
1,374 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,181 |
3,899 |
$7K |
| H0049 |
Alcohol and/or drug screening |
553 |
552 |
$5K |
| 96151 |
|
634 |
632 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
845 |
836 |
$1K |
| G8482 |
Influenza immunization administered or previously received |
134 |
134 |
$1K |
| 3008F |
|
1,288 |
1,275 |
$916.28 |
| 3074F |
|
747 |
738 |
$719.31 |
| 3078F |
|
592 |
587 |
$594.32 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
64 |
64 |
$547.40 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,205 |
1,198 |
$434.69 |
| 96127 |
|
30 |
30 |
$101.63 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
552 |
552 |
$70.00 |
| 99441 |
|
244 |
230 |
$7.39 |
| 3288F |
|
13 |
13 |
$0.00 |
| 1159F |
|
13 |
13 |
$0.00 |
| 1158F |
|
13 |
13 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |
| 1090F |
|
13 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
24 |
24 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 1126F |
|
13 |
13 |
$0.00 |
| 1220F |
|
13 |
13 |
$0.00 |
| 3079F |
|
16 |
16 |
$0.00 |