| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,042 |
5,543 |
$822K |
| 99051 |
|
3,710 |
3,000 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
291 |
281 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
78 |
78 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
568 |
556 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
65 |
$8K |
| 90688 |
|
321 |
321 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
640 |
639 |
$4K |
| 81000 |
|
1,405 |
1,395 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
171 |
171 |
$3K |
| 0064A |
|
68 |
68 |
$3K |
| 96127 |
|
426 |
419 |
$2K |
| 93000 |
|
177 |
177 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90674 |
|
71 |
71 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
77 |
74 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
15 |
12 |
$853.95 |
| 90686 |
|
50 |
50 |
$519.82 |
| 99490 |
Ccm add 20min |
16 |
16 |
$329.80 |
| 36415 |
Collection of venous blood by venipuncture |
760 |
741 |
$81.71 |
| 91306 |
|
68 |
68 |
$0.01 |
| G9275 |
Documentation that patient is a current non-tobacco user |
536 |
529 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,217 |
1,179 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
184 |
184 |
$0.00 |
| 99000 |
|
710 |
645 |
$0.00 |
| 90694 |
|
14 |
14 |
$0.00 |
| 99072 |
|
1,303 |
950 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
565 |
557 |
$0.00 |
| 90658 |
|
26 |
26 |
$0.00 |
| 99408 |
|
14 |
12 |
$0.00 |