| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,950 |
8,042 |
$897K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,374 |
1,372 |
$179K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,167 |
2,108 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
321 |
321 |
$39K |
| 90750 |
|
217 |
217 |
$37K |
| 93000 |
|
2,109 |
2,106 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
166 |
160 |
$21K |
| 90686 |
|
886 |
886 |
$19K |
| 99490 |
Ccm add 20min |
983 |
983 |
$16K |
| 99439 |
|
1,056 |
1,056 |
$11K |
| 90715 |
|
121 |
121 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,862 |
1,836 |
$4K |
| 90688 |
|
120 |
120 |
$2K |
| 0013A |
|
61 |
61 |
$2K |
| 90746 |
|
28 |
28 |
$2K |
| 90656 |
|
92 |
92 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
97 |
96 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
32 |
32 |
$449.52 |
| 3078F |
|
292 |
261 |
$392.50 |
| 90694 |
|
14 |
14 |
$299.42 |
| 3074F |
|
250 |
215 |
$297.50 |
| 99457 |
|
107 |
107 |
$277.23 |
| 99458 |
|
42 |
42 |
$200.49 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
77 |
77 |
$168.26 |
| 3075F |
|
119 |
108 |
$135.00 |
| 3079F |
|
90 |
78 |
$75.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,965 |
1,784 |
$70.76 |
| 3017F |
|
271 |
271 |
$41.54 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$38.28 |
| 99454 |
|
36 |
36 |
$36.63 |
| 96160 |
|
18 |
16 |
$31.90 |
| 3014F |
|
70 |
70 |
$0.00 |
| 3015F |
|
12 |
12 |
$0.00 |