| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,103 |
3,707 |
$491K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,720 |
2,125 |
$161K |
| 99442 |
|
676 |
591 |
$64K |
| 99443 |
|
279 |
255 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
196 |
196 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
263 |
263 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
742 |
714 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107 |
101 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
382 |
350 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
89 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
482 |
482 |
$6K |
| H0001 |
Alcohol and/or drug assessment |
460 |
458 |
$4K |
| 93000 |
|
600 |
596 |
$3K |
| 92551 |
|
178 |
177 |
$3K |
| 90686 |
|
162 |
162 |
$2K |
| 90658 |
|
131 |
131 |
$2K |
| 90661 |
|
101 |
101 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 90651 |
|
24 |
24 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$914.64 |
| 99051 |
|
1,339 |
1,128 |
$800.00 |
| 90756 |
|
19 |
19 |
$582.84 |
| 99173 |
|
151 |
149 |
$570.00 |
| 90656 |
|
53 |
53 |
$558.75 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
491 |
485 |
$550.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
531 |
523 |
$326.00 |
| 90688 |
|
31 |
31 |
$312.81 |
| 3074F |
|
80 |
73 |
$180.00 |
| 3078F |
|
81 |
75 |
$180.00 |
| 3075F |
|
32 |
30 |
$72.50 |
| 3080F |
|
12 |
12 |
$30.00 |
| 3079F |
|
83 |
76 |
$25.00 |
| 96127 |
|
45 |
45 |
$23.32 |
| 3077F |
|
56 |
50 |
$10.00 |
| 3008F |
|
759 |
747 |
$0.00 |
| 4293F |
|
515 |
515 |
$0.00 |
| 1000F |
|
758 |
749 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
533 |
529 |
$0.00 |
| 3044F |
|
125 |
123 |
$0.00 |
| 99000 |
|
2,305 |
2,148 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
836 |
829 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
965 |
958 |
$0.00 |
| 3049F |
|
160 |
156 |
$0.00 |
| 1036F |
|
636 |
628 |
$0.00 |
| 36410 |
|
795 |
774 |
$0.00 |
| 3048F |
|
15 |
15 |
$0.00 |
| 2000F |
|
30 |
27 |
$0.00 |
| 3725F |
|
873 |
866 |
$0.00 |
| 3016F |
|
628 |
626 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
57 |
57 |
$0.00 |
| 3050F |
|
42 |
42 |
$0.00 |
| 90750 |
|
24 |
24 |
$0.00 |