| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,127 |
11,187 |
$529K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,450 |
6,832 |
$432K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
336 |
334 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
9,014 |
8,215 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
201 |
201 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
242 |
231 |
$15K |
| 81002 |
|
5,309 |
5,036 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
501 |
482 |
$9K |
| 90686 |
|
625 |
544 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
129 |
116 |
$2K |
| 92552 |
|
69 |
65 |
$2K |
| 93922 |
|
26 |
26 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
117 |
108 |
$1K |
| 0011A |
|
26 |
26 |
$1K |
| 93000 |
|
78 |
77 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$850.55 |
| 99397 |
|
26 |
24 |
$801.57 |
| 81025 |
|
129 |
120 |
$697.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
26 |
$603.97 |
| 0012A |
|
12 |
12 |
$480.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,314 |
1,215 |
$327.86 |
| 82962 |
|
236 |
212 |
$286.67 |
| 90688 |
|
17 |
17 |
$201.71 |
| 90715 |
|
13 |
12 |
$188.95 |
| 85018 |
|
149 |
136 |
$168.51 |
| 99173 |
|
68 |
65 |
$135.78 |
| 99499 |
|
2,643 |
2,246 |
$8.08 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,170 |
1,024 |
$0.13 |
| 3074F |
|
434 |
401 |
$0.13 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
497 |
456 |
$0.12 |
| 3078F |
|
382 |
352 |
$0.02 |
| 3079F |
|
16 |
15 |
$0.02 |
| G8482 |
Influenza immunization administered or previously received |
363 |
329 |
$0.01 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
381 |
348 |
$0.00 |
| 3288F |
|
472 |
428 |
$0.00 |
| 3725F |
|
634 |
565 |
$0.00 |
| 1036F |
|
641 |
570 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
26 |
$0.00 |
| 1126F |
|
417 |
378 |
$0.00 |
| 1101F |
|
447 |
406 |
$0.00 |