| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,061 |
8,595 |
$685K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,122 |
3,121 |
$371K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,829 |
4,478 |
$244K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
972 |
971 |
$94K |
| 99441 |
|
1,953 |
1,823 |
$89K |
| 93000 |
|
4,403 |
4,391 |
$80K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,007 |
3,934 |
$68K |
| 91320 |
|
564 |
564 |
$62K |
| 90686 |
|
1,719 |
1,716 |
$32K |
| 90677 |
|
86 |
86 |
$21K |
| 90679 |
|
63 |
63 |
$19K |
| 90688 |
|
1,022 |
1,021 |
$16K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
162 |
161 |
$16K |
| 90480 |
|
564 |
564 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
666 |
628 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
3,906 |
3,819 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
360 |
355 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
436 |
431 |
$10K |
| 90656 |
|
512 |
511 |
$10K |
| 90750 |
|
118 |
118 |
$4K |
| 90670 |
|
16 |
16 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
27 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,300 |
6,213 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
185 |
96 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
81 |
81 |
$980.95 |
| G0008 |
Administration of influenza virus vaccine |
294 |
294 |
$923.11 |
| 90756 |
|
27 |
27 |
$688.46 |
| 99397 |
|
12 |
12 |
$609.82 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
24 |
24 |
$429.54 |
| 3079F |
|
419 |
415 |
$202.50 |
| 3074F |
|
386 |
379 |
$172.50 |
| 3075F |
|
235 |
234 |
$150.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$133.10 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
135 |
134 |
$118.96 |
| 3078F |
|
248 |
243 |
$115.00 |
| 1000F |
|
2,446 |
2,431 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
3,936 |
3,915 |
$0.00 |
| 3061F |
|
49 |
48 |
$0.00 |
| 1036F |
|
2,198 |
2,187 |
$0.00 |
| 1101F |
|
272 |
271 |
$0.00 |
| 3008F |
|
1,526 |
1,520 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
915 |
910 |
$0.00 |
| 3048F |
|
66 |
65 |
$0.00 |
| 1125F |
|
39 |
39 |
$0.00 |
| 1170F |
|
39 |
39 |
$0.00 |
| 3044F |
|
33 |
33 |
$0.00 |
| 99000 |
|
18 |
17 |
$0.00 |
| 2023F |
|
15 |
13 |
$0.00 |
| 3725F |
|
3,676 |
3,499 |
$0.00 |
| 90678 |
|
114 |
114 |
$0.00 |
| 1160F |
|
39 |
39 |
$0.00 |
| 1100F |
|
272 |
271 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
722 |
719 |
$0.00 |
| 1032F |
|
27 |
27 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
133 |
131 |
$0.00 |
| 3288F |
|
272 |
271 |
$0.00 |
| 1159F |
|
39 |
39 |
$0.00 |
| 0521F |
|
39 |
39 |
$0.00 |
| 99072 |
|
44 |
43 |
$0.00 |
| 1158F |
|
39 |
39 |
$0.00 |
| 99080 |
|
123 |
38 |
$0.00 |
| 99001 |
|
17 |
17 |
$0.00 |