| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,281 |
2,144 |
$170K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
435 |
435 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
286 |
278 |
$32K |
| 99386 |
|
255 |
255 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
100 |
$15K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
879 |
879 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
190 |
178 |
$9K |
| 96127 |
|
1,430 |
1,430 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
73 |
$5K |
| H0001 |
Alcohol and/or drug assessment |
661 |
661 |
$5K |
| 99385 |
|
12 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,286 |
1,275 |
$931.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$330.16 |
| 86703 |
|
16 |
16 |
$209.32 |
| A4927 |
Gloves, non-sterile, per 100 |
69 |
69 |
$187.32 |
| A4245 |
Alcohol wipes, per box |
68 |
68 |
$138.62 |
| 81002 |
|
43 |
43 |
$118.83 |
| 81000 |
|
12 |
12 |
$30.97 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
54 |
54 |
$28.00 |
| 3014F |
|
753 |
753 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
561 |
560 |
$0.00 |
| 1000F |
|
556 |
556 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
536 |
536 |
$0.00 |
| 3015F |
|
16 |
16 |
$0.00 |