| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,153 |
1,028 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,492 |
1,417 |
$228.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$27.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
41 |
$9.00 |
| 90674 |
|
13 |
13 |
$9.00 |
| 1159F |
|
134 |
134 |
$0.00 |
| 3077F |
|
127 |
123 |
$0.00 |
| 3078F |
|
1,250 |
1,194 |
$0.00 |
| 1158F |
|
107 |
107 |
$0.00 |
| 1090F |
|
108 |
108 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
124 |
124 |
$0.00 |
| 80061 |
Lipid panel |
25 |
25 |
$0.00 |
| 92552 |
|
111 |
111 |
$0.00 |
| 92081 |
|
114 |
114 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
14 |
13 |
$0.00 |
| 1160F |
|
134 |
134 |
$0.00 |
| 3288F |
|
97 |
97 |
$0.00 |
| 3008F |
|
1,615 |
1,556 |
$0.00 |
| 3074F |
|
1,142 |
1,095 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
313 |
302 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
171 |
171 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
109 |
108 |
$0.00 |
| 96156 |
|
110 |
110 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
101 |
101 |
$0.00 |
| 1126F |
|
43 |
43 |
$0.00 |
| 3075F |
|
110 |
110 |
$0.00 |
| 1170F |
|
124 |
124 |
$0.00 |
| 3079F |
|
120 |
118 |
$0.00 |
| 1101F |
|
61 |
61 |
$0.00 |
| 1036F |
|
133 |
133 |
$0.00 |
| 1157F |
|
124 |
124 |
$0.00 |
| 3044F |
|
33 |
33 |
$0.00 |
| 3048F |
|
15 |
15 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$0.00 |