| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,847 |
19,248 |
$1.67M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,742 |
1,721 |
$169K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,527 |
1,516 |
$132K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
468 |
466 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
443 |
426 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
461 |
455 |
$35K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
283 |
138 |
$19K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
220 |
209 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
1,528 |
1,492 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
59 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
61 |
58 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
34 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
240 |
212 |
$2K |
| 81025 |
|
205 |
200 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$297.50 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
122 |
122 |
$0.00 |
| 90686 |
|
57 |
57 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
115 |
115 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |
| 3044F |
|
20 |
20 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
142 |
142 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
119 |
119 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
132 |
132 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |