| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,420 |
3,155 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
517 |
486 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
218 |
213 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
41 |
$1K |
| 90686 |
|
111 |
111 |
$812.76 |
| 3074F |
|
890 |
870 |
$660.03 |
| 3078F |
|
916 |
894 |
$645.03 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,106 |
1,021 |
$597.35 |
| 90688 |
|
58 |
58 |
$541.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
42 |
$476.40 |
| H0001 |
Alcohol and/or drug assessment |
1,170 |
1,152 |
$200.43 |
| 97802 |
|
33 |
32 |
$96.72 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$51.31 |
| 1159F |
|
464 |
457 |
$20.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
590 |
580 |
$19.51 |
| 1160F |
|
363 |
360 |
$17.50 |
| 1126F |
|
417 |
412 |
$15.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,090 |
2,001 |
$0.06 |
| 3008F |
|
1,607 |
1,573 |
$0.05 |
| 3725F |
|
2,105 |
2,010 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
678 |
663 |
$0.00 |
| 3016F |
|
1,040 |
1,017 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$0.00 |
| 1036F |
|
278 |
274 |
$0.00 |
| 2010F |
|
1,440 |
1,417 |
$0.00 |
| 1000F |
|
1,113 |
1,085 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
526 |
516 |
$0.00 |
| 0513F |
|
17 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
38 |
38 |
$0.00 |
| 96127 |
|
155 |
155 |
$0.00 |