| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,705 |
3,570 |
$276K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
693 |
667 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
805 |
727 |
$33K |
| 99490 |
Ccm add 20min |
977 |
970 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
400 |
380 |
$7K |
| 90756 |
|
119 |
119 |
$3K |
| 99401 |
|
170 |
165 |
$3K |
| H0049 |
Alcohol and/or drug screening |
160 |
160 |
$3K |
| 93000 |
|
407 |
405 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
896 |
868 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$2K |
| 90661 |
|
44 |
44 |
$1K |
| 0013A |
|
30 |
30 |
$1K |
| 0011A |
|
30 |
30 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
97 |
97 |
$1K |
| 99051 |
|
208 |
181 |
$1K |
| 0003A |
|
21 |
21 |
$850.72 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
377 |
373 |
$714.15 |
| 90674 |
|
25 |
25 |
$701.04 |
| 3074F |
|
237 |
192 |
$405.00 |
| 3078F |
|
222 |
184 |
$395.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
15 |
13 |
$360.89 |
| 99497 |
|
12 |
12 |
$269.34 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$232.35 |
| 99408 |
|
115 |
115 |
$221.33 |
| 3079F |
|
17 |
14 |
$25.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
105 |
105 |
$4.00 |
| 1000F |
|
258 |
253 |
$0.00 |
| 3011F |
|
272 |
236 |
$0.00 |
| 3008F |
|
264 |
261 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
114 |
112 |
$0.00 |
| 1101F |
|
15 |
15 |
$0.00 |
| 1036F |
|
132 |
132 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |
| 3725F |
|
288 |
286 |
$0.00 |
| 3288F |
|
15 |
15 |
$0.00 |
| 99072 |
|
21 |
18 |
$0.00 |