| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,476 |
2,759 |
$265K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
225 |
225 |
$30K |
| 92552 |
|
665 |
665 |
$17K |
| 94010 |
|
369 |
369 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
571 |
556 |
$9K |
| 93000 |
|
497 |
496 |
$6K |
| 90674 |
|
88 |
88 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$2K |
| 90756 |
|
66 |
66 |
$2K |
| 99051 |
|
99 |
94 |
$617.40 |
| 36415 |
Collection of venous blood by venipuncture |
1,042 |
1,035 |
$461.70 |
| 99441 |
|
12 |
12 |
$337.20 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
252 |
250 |
$34.29 |
| 99000 |
|
736 |
731 |
$0.00 |
| 90686 |
|
59 |
59 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
460 |
453 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
708 |
698 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
183 |
177 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
194 |
187 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
719 |
708 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
158 |
157 |
$0.00 |
| 1036F |
|
55 |
54 |
$0.00 |
| 99406 |
|
13 |
13 |
$0.00 |
| 99408 |
|
690 |
679 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
181 |
175 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
15 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
331 |
331 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |