| Code | Description | Claims | Beneficiaries | Total Paid |
| 90688 |
|
469 |
469 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,231 |
2,206 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,926 |
4,854 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
703 |
702 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,430 |
1,416 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
468 |
468 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
822 |
822 |
$818.77 |
| 96151 |
|
450 |
450 |
$421.30 |
| 96150 |
|
106 |
106 |
$303.45 |
| 96156 |
|
1,061 |
1,061 |
$260.62 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
991 |
989 |
$189.80 |
| 3078F |
|
663 |
658 |
$182.38 |
| 90674 |
|
15 |
15 |
$171.06 |
| 90686 |
|
33 |
33 |
$158.49 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
69 |
69 |
$104.30 |
| 3074F |
|
663 |
660 |
$76.90 |
| 3079F |
|
581 |
579 |
$70.90 |
| 92551 |
|
160 |
160 |
$70.16 |
| 3075F |
|
575 |
572 |
$63.40 |
| 90473 |
|
12 |
12 |
$45.00 |
| 90672 |
|
12 |
12 |
$36.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
816 |
816 |
$31.30 |
| 99173 |
|
115 |
115 |
$23.49 |
| 99385 |
|
25 |
25 |
$22.30 |
| 81002 |
|
136 |
136 |
$17.04 |
| 85018 |
|
13 |
13 |
$2.05 |
| 96127 |
|
409 |
409 |
$0.01 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
29 |
$0.01 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
117 |
117 |
$0.00 |
| 3077F |
|
17 |
16 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |