| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,312 |
10,124 |
$345K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,521 |
6,512 |
$286K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,919 |
2,919 |
$158K |
| 99442 |
|
1,686 |
1,665 |
$86K |
| 93000 |
|
7,553 |
7,550 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,600 |
2,521 |
$52K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
459 |
459 |
$20K |
| 90674 |
|
1,496 |
1,493 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
522 |
522 |
$16K |
| 94010 |
|
534 |
534 |
$14K |
| 92587 |
|
284 |
284 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12,223 |
12,072 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,009 |
994 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
1,361 |
1,358 |
$5K |
| 99441 |
|
139 |
138 |
$4K |
| 99385 |
|
66 |
66 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
10,079 |
9,984 |
$2K |
| 99401 |
|
254 |
253 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
141 |
140 |
$2K |
| 99397 |
|
70 |
70 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
182 |
182 |
$2K |
| 90661 |
|
31 |
31 |
$998.83 |
| 99386 |
|
89 |
89 |
$991.89 |
| 3078F |
|
2,183 |
2,104 |
$857.54 |
| 3074F |
|
1,773 |
1,716 |
$615.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
82 |
81 |
$566.13 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
31 |
31 |
$531.10 |
| 96127 |
|
112 |
111 |
$168.20 |
| 90756 |
|
12 |
12 |
$167.93 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
125 |
123 |
$145.81 |
| 99497 |
|
37 |
37 |
$102.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
2,365 |
2,361 |
$90.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
63 |
63 |
$58.40 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
81 |
81 |
$35.00 |
| 3008F |
|
273 |
272 |
$0.00 |
| 1000F |
|
1,451 |
1,448 |
$0.00 |
| 1101F |
|
186 |
183 |
$0.00 |
| 1036F |
|
1,523 |
1,520 |
$0.00 |
| 1126F |
|
114 |
111 |
$0.00 |
| 3048F |
|
57 |
57 |
$0.00 |
| 1157F |
|
192 |
189 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
37 |
36 |
$0.00 |
| 1170F |
|
227 |
223 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
103 |
103 |
$0.00 |
| 3079F |
|
64 |
64 |
$0.00 |
| 3075F |
|
70 |
70 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 1158F |
|
205 |
201 |
$0.00 |
| 3725F |
|
2,311 |
2,261 |
$0.00 |
| 1160F |
|
256 |
242 |
$0.00 |
| 3077F |
|
91 |
90 |
$0.00 |
| 1100F |
|
184 |
181 |
$0.00 |
| 1159F |
|
270 |
255 |
$0.00 |
| 3288F |
|
187 |
184 |
$0.00 |
| 97803 |
|
16 |
16 |
$0.00 |