| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,748 |
11,239 |
$245K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
210 |
208 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
660 |
562 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
176 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$884.69 |
| 36415 |
Collection of venous blood by venipuncture |
1,454 |
1,408 |
$286.06 |
| 99385 |
|
14 |
14 |
$214.41 |
| 81001 |
|
90 |
86 |
$206.70 |
| 81002 |
|
287 |
268 |
$146.30 |
| 1160F |
|
2,101 |
1,871 |
$39.65 |
| 99442 |
|
56 |
49 |
$17.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
13 |
$16.64 |
| H0049 |
Alcohol and/or drug screening |
1,006 |
973 |
$0.83 |
| 99401 |
|
150 |
133 |
$0.06 |
| 3078F |
|
5,186 |
4,525 |
$0.02 |
| 3725F |
|
4,486 |
3,955 |
$0.02 |
| 3008F |
|
5,242 |
4,457 |
$0.02 |
| 99441 |
|
91 |
86 |
$0.01 |
| 1111F |
|
184 |
167 |
$0.01 |
| 3074F |
|
5,583 |
4,951 |
$0.01 |
| 1159F |
|
1,771 |
1,580 |
$0.00 |
| 99499 |
|
314 |
96 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
44 |
44 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
16 |
14 |
$0.00 |
| 99173 |
|
53 |
39 |
$0.00 |
| 2028F |
|
32 |
30 |
$0.00 |
| 4013F |
|
15 |
14 |
$0.00 |
| 96160 |
|
14 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
12 |
$0.00 |
| 3050F |
|
14 |
14 |
$0.00 |
| 1033F |
|
15 |
14 |
$0.00 |
| 1158F |
|
12 |
12 |
$0.00 |
| 3075F |
|
1,406 |
1,288 |
$0.00 |
| 3079F |
|
2,151 |
1,962 |
$0.00 |
| 1126F |
|
610 |
546 |
$0.00 |
| 3048F |
|
326 |
321 |
$0.00 |
| 99000 |
|
1,284 |
1,263 |
$0.00 |
| 1125F |
|
840 |
748 |
$0.00 |
| 1036F |
|
873 |
844 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
43 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$0.00 |
| 3044F |
|
982 |
967 |
$0.00 |
| 4010F |
|
467 |
429 |
$0.00 |
| 1030F |
|
51 |
50 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
79 |
65 |
$0.00 |
| 97802 |
|
69 |
55 |
$0.00 |
| 3049F |
|
118 |
118 |
$0.00 |
| 0516F |
|
53 |
53 |
$0.00 |
| 90688 |
|
45 |
44 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
18 |
16 |
$0.00 |
| 3061F |
|
99 |
99 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
28 |
$0.00 |
| 99402 |
|
35 |
33 |
$0.00 |
| 1170F |
|
116 |
85 |
$0.00 |
| 96127 |
|
38 |
37 |
$0.00 |
| 1034F |
|
18 |
17 |
$0.00 |