| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,550 |
13,607 |
$1.37M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,552 |
6,815 |
$368K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,739 |
2,732 |
$348K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,156 |
3,106 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,758 |
2,686 |
$43K |
| 90674 |
|
943 |
940 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
187 |
186 |
$22K |
| 99442 |
|
321 |
290 |
$16K |
| 99051 |
|
2,205 |
1,945 |
$12K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,924 |
1,921 |
$11K |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
548 |
546 |
$9K |
| 90688 |
|
374 |
374 |
$7K |
| H0049 |
Alcohol and/or drug screening |
1,366 |
1,361 |
$6K |
| 93000 |
|
531 |
525 |
$6K |
| 90750 |
|
27 |
27 |
$5K |
| 99401 |
|
519 |
515 |
$4K |
| 90686 |
|
185 |
185 |
$4K |
| 0064A |
|
93 |
93 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
4,164 |
4,128 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
169 |
169 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 99441 |
|
35 |
30 |
$869.42 |
| 0031A |
|
20 |
20 |
$728.04 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,753 |
1,749 |
$623.50 |
| 90715 |
|
13 |
13 |
$603.93 |
| 86580 |
|
79 |
70 |
$519.46 |
| G0403 |
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
140 |
139 |
$386.18 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
255 |
255 |
$309.30 |
| 99408 |
|
348 |
345 |
$300.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
16 |
16 |
$238.42 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
110 |
110 |
$222.51 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$212.50 |
| 3074F |
|
83 |
81 |
$170.00 |
| 3078F |
|
88 |
87 |
$165.00 |
| 82948 |
|
51 |
51 |
$148.76 |
| 97802 |
|
420 |
418 |
$76.14 |
| 87400 |
|
13 |
13 |
$52.75 |
| 99000 |
|
780 |
774 |
$22.47 |
| 91303 |
|
19 |
19 |
$0.01 |
| 1036F |
|
319 |
319 |
$0.00 |
| 1000F |
|
367 |
366 |
$0.00 |
| 91306 |
|
80 |
80 |
$0.00 |
| 3725F |
|
161 |
160 |
$0.00 |