| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,748 |
6,544 |
$844K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,267 |
2,214 |
$304K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
960 |
960 |
$127K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,954 |
1,809 |
$118K |
| 90674 |
|
705 |
705 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
155 |
155 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,101 |
1,077 |
$18K |
| 99051 |
|
2,034 |
1,713 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
63 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
661 |
658 |
$6K |
| 99386 |
|
21 |
21 |
$3K |
| 90756 |
|
103 |
103 |
$3K |
| 0013A |
|
66 |
66 |
$3K |
| 90750 |
|
14 |
14 |
$3K |
| 0012A |
|
49 |
49 |
$2K |
| 0011A |
|
50 |
50 |
$2K |
| 0134A |
|
48 |
48 |
$2K |
| 83014 |
|
276 |
269 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,606 |
2,514 |
$2K |
| 0064A |
|
33 |
33 |
$1K |
| 96127 |
|
379 |
379 |
$1K |
| 90746 |
|
12 |
12 |
$803.38 |
| 3078F |
|
273 |
238 |
$574.06 |
| 3074F |
|
253 |
220 |
$553.52 |
| 1159F |
|
2,655 |
2,166 |
$366.05 |
| 99406 |
|
26 |
26 |
$354.98 |
| 1160F |
|
2,654 |
2,165 |
$262.19 |
| 90686 |
|
13 |
13 |
$258.27 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
41 |
41 |
$72.00 |
| 3079F |
|
25 |
24 |
$37.50 |
| 3725F |
|
261 |
260 |
$3.31 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
166 |
166 |
$0.41 |
| G9275 |
Documentation that patient is a current non-tobacco user |
346 |
346 |
$0.40 |
| 91301 |
|
92 |
92 |
$0.05 |
| G9276 |
Documentation that patient is a current tobacco user |
12 |
12 |
$0.00 |
| 99000 |
|
139 |
137 |
$0.00 |
| 1000F |
|
196 |
196 |
$0.00 |
| 1036F |
|
139 |
139 |
$0.00 |