| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,909 |
5,789 |
$515K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,919 |
5,738 |
$368K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
973 |
964 |
$98K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
699 |
691 |
$65K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,220 |
2,189 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
5,779 |
5,600 |
$18K |
| 90686 |
|
727 |
725 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
68 |
$9K |
| 90715 |
|
272 |
272 |
$7K |
| 99385 |
|
64 |
64 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
328 |
321 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
558 |
552 |
$6K |
| 81002 |
|
2,027 |
1,977 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
67 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
54 |
$5K |
| 81025 |
|
478 |
472 |
$3K |
| 99215 |
Prolong outpt/office vis |
28 |
28 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
68 |
67 |
$3K |
| 99386 |
|
19 |
19 |
$2K |
| 91322 |
|
16 |
16 |
$2K |
| 90656 |
|
81 |
81 |
$1K |
| 90480 |
|
28 |
28 |
$1K |
| 82962 |
|
304 |
302 |
$785.79 |
| 81000 |
|
241 |
240 |
$716.46 |
| 99406 |
|
68 |
67 |
$612.41 |
| 85018 |
|
259 |
257 |
$482.31 |
| 0001A |
|
13 |
13 |
$482.24 |
| 0054A |
|
13 |
13 |
$441.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$416.30 |
| 82947 |
|
115 |
114 |
$334.47 |
| 81003 |
|
88 |
88 |
$164.15 |
| 93000 |
|
13 |
13 |
$116.88 |
| 91300 |
|
27 |
26 |
$0.00 |
| 3078F |
|
1,694 |
1,634 |
$0.00 |
| 3077F |
|
553 |
526 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
25 |
24 |
$0.00 |
| 3074F |
|
1,828 |
1,771 |
$0.00 |
| 3075F |
|
419 |
415 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,329 |
1,323 |
$0.00 |
| 3079F |
|
915 |
891 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
1,607 |
1,558 |
$0.00 |
| 3080F |
|
221 |
214 |
$0.00 |
| 36416 |
|
56 |
56 |
$0.00 |