| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,433 |
10,244 |
$20K |
| 92551 |
|
1,748 |
1,748 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,379 |
1,306 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,220 |
1,210 |
$7K |
| 0012A |
|
297 |
226 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,817 |
3,617 |
$5K |
| 96156 |
|
2,491 |
2,489 |
$5K |
| 0011A |
|
263 |
209 |
$4K |
| 0064A |
|
113 |
86 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,172 |
1,171 |
$2K |
| 90686 |
|
339 |
337 |
$2K |
| 97139 |
|
59 |
22 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,827 |
2,809 |
$1K |
| 0031A |
|
49 |
47 |
$1K |
| 92552 |
|
96 |
96 |
$928.12 |
| 96127 |
|
3,246 |
3,230 |
$652.78 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
920 |
806 |
$391.07 |
| 81002 |
|
2,252 |
2,214 |
$289.75 |
| 99000 |
|
2,016 |
1,840 |
$230.19 |
| 81025 |
|
651 |
641 |
$188.19 |
| 90651 |
|
25 |
25 |
$150.00 |
| 86580 |
|
18 |
16 |
$144.00 |
| 99385 |
|
140 |
140 |
$140.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22 |
22 |
$126.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
95 |
95 |
$125.88 |
| 90734 |
|
12 |
12 |
$72.00 |
| G9920 |
Screening performed and negative |
155 |
155 |
$58.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
76 |
76 |
$54.90 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
82 |
82 |
$37.25 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
387 |
383 |
$29.70 |
| 99406 |
|
51 |
49 |
$9.37 |
| 99072 |
|
837 |
761 |
$7.50 |
| 85018 |
|
260 |
259 |
$5.03 |
| 3725F |
|
3,314 |
3,295 |
$0.00 |
| 3078F |
|
4,521 |
4,108 |
$0.00 |
| 99173 |
|
1,974 |
1,972 |
$0.00 |
| 3016F |
|
965 |
964 |
$0.00 |
| 3077F |
|
1,078 |
982 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
105 |
105 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
336 |
336 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
286 |
281 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,413 |
1,403 |
$0.00 |
| 96160 |
|
183 |
183 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
114 |
114 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
48 |
48 |
$0.00 |
| 99442 |
|
15 |
15 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
15 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,381 |
1,290 |
$0.00 |
| 2001F |
|
3,182 |
2,840 |
$0.00 |
| 1036F |
|
12,965 |
11,365 |
$0.00 |
| 3353F |
|
81 |
81 |
$0.00 |
| 3079F |
|
2,805 |
2,612 |
$0.00 |
| 1034F |
|
1,242 |
1,099 |
$0.00 |
| 3351F |
|
2,738 |
2,726 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
2,234 |
2,219 |
$0.00 |
| 3074F |
|
5,395 |
4,869 |
$0.00 |
| 1000F |
|
409 |
368 |
$0.00 |
| 3044F |
|
979 |
978 |
$0.00 |
| 3075F |
|
1,199 |
1,152 |
$0.00 |
| 3080F |
|
358 |
341 |
$0.00 |
| 1031F |
|
14,521 |
12,779 |
$0.00 |
| 4293F |
|
946 |
944 |
$0.00 |
| 99386 |
|
38 |
38 |
$0.00 |
| 99441 |
|
46 |
42 |
$0.00 |
| 91301 |
|
189 |
189 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| 3008F |
|
3,210 |
2,866 |
$0.00 |
| 99070 |
|
90 |
84 |
$0.00 |
| 3352F |
|
32 |
32 |
$0.00 |
| 3754F |
|
15 |
15 |
$0.00 |
| 91306 |
|
38 |
38 |
$0.00 |