| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,768 |
7,378 |
$48K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,639 |
1,567 |
$17K |
| 90694 |
|
344 |
343 |
$13K |
| 93000 |
|
779 |
777 |
$11K |
| 94010 |
|
310 |
310 |
$10K |
| 3074F |
|
9,988 |
7,408 |
$10K |
| 3078F |
|
9,151 |
6,882 |
$8K |
| 83014 |
|
672 |
669 |
$5K |
| 87110 |
|
233 |
233 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
294 |
294 |
$3K |
| 90686 |
|
181 |
181 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,471 |
1,370 |
$2K |
| 3079F |
|
1,761 |
1,524 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
370 |
370 |
$2K |
| 90658 |
|
232 |
232 |
$714.48 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
88 |
79 |
$668.85 |
| 3075F |
|
627 |
578 |
$434.71 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
241 |
241 |
$363.74 |
| 36415 |
Collection of venous blood by venipuncture |
2,147 |
2,121 |
$182.36 |
| 3077F |
|
162 |
141 |
$116.60 |
| 96127 |
|
39 |
39 |
$67.07 |
| 3080F |
|
88 |
80 |
$57.24 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,284 |
1,284 |
$49.36 |
| 3008F |
|
11,588 |
8,304 |
$4.09 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
4,531 |
3,439 |
$0.00 |
| 1000F |
|
1,644 |
1,560 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
1,369 |
1,368 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,313 |
3,824 |
$0.00 |
| 3017F |
|
34 |
29 |
$0.00 |
| 90674 |
|
169 |
169 |
$0.00 |
| 3061F |
|
76 |
65 |
$0.00 |
| 1036F |
|
213 |
160 |
$0.00 |
| 92551 |
|
27 |
27 |
$0.00 |
| 3014F |
|
20 |
17 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
13 |
13 |
$0.00 |
| 88141 |
|
14 |
14 |
$0.00 |
| 3016F |
|
1,404 |
1,393 |
$0.00 |
| 3725F |
|
1,372 |
1,372 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,435 |
1,423 |
$0.00 |
| 1033F |
|
141 |
100 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
819 |
609 |
$0.00 |
| G0141 |
Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician |
14 |
14 |
$0.00 |
| 99173 |
|
26 |
26 |
$0.00 |
| 3015F |
|
14 |
14 |
$0.00 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
14 |
14 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$0.00 |