| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
866 |
686 |
$16K |
| 99401 |
|
259 |
242 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
37 |
$1K |
| 93000 |
|
75 |
74 |
$610.69 |
| 90686 |
|
32 |
32 |
$427.69 |
| 99406 |
|
30 |
30 |
$381.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
40 |
$323.16 |
| 36415 |
Collection of venous blood by venipuncture |
358 |
329 |
$129.25 |
| H0001 |
Alcohol and/or drug assessment |
19 |
19 |
$100.02 |
| A4930 |
Gloves, sterile, per pair |
386 |
353 |
$44.40 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
18 |
18 |
$32.50 |
| 3074F |
|
27 |
27 |
$23.50 |
| 3078F |
|
14 |
14 |
$21.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
73 |
67 |
$10.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
36 |
36 |
$1.33 |
| 3044F |
|
57 |
51 |
$0.01 |
| 3048F |
|
15 |
12 |
$0.01 |
| 3008F |
|
101 |
96 |
$0.00 |
| 99000 |
|
441 |
393 |
$0.00 |
| 2010F |
|
18 |
18 |
$0.00 |
| 1036F |
|
15 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12 |
12 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
285 |
260 |
$0.00 |
| 3725F |
|
16 |
16 |
$0.00 |
| 3016F |
|
16 |
16 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12 |
12 |
$0.00 |