| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,483 |
1,561 |
$238K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
143 |
143 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
338 |
300 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
54 |
54 |
$6K |
| 90674 |
|
116 |
116 |
$4K |
| 90661 |
|
47 |
46 |
$2K |
| 3074F |
|
426 |
283 |
$777.50 |
| 3078F |
|
319 |
207 |
$580.00 |
| 36415 |
Collection of venous blood by venipuncture |
141 |
137 |
$347.62 |
| 3079F |
|
111 |
79 |
$212.50 |
| 93000 |
|
15 |
15 |
$203.77 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
187 |
186 |
$41.20 |
| 1160F |
|
50 |
50 |
$0.00 |
| 3725F |
|
54 |
54 |
$0.00 |
| 1159F |
|
50 |
50 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
40 |
40 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
19 |
19 |
$0.00 |
| 1032F |
|
12 |
12 |
$0.00 |
| 3008F |
|
36 |
24 |
$0.00 |
| 1000F |
|
51 |
51 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
86 |
86 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
22 |
18 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |