| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,302 |
3,661 |
$365K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
640 |
620 |
$76K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
517 |
517 |
$66K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
234 |
234 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
984 |
963 |
$16K |
| 90674 |
|
581 |
580 |
$16K |
| H0001 |
Alcohol and/or drug assessment |
699 |
698 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
665 |
665 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
56 |
$6K |
| 99401 |
|
486 |
476 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
520 |
520 |
$4K |
| 93000 |
|
249 |
249 |
$4K |
| 99408 |
|
740 |
739 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
65 |
61 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,873 |
1,818 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$877.82 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
53 |
53 |
$787.22 |
| 90746 |
|
12 |
12 |
$773.47 |
| 90756 |
|
22 |
22 |
$615.19 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,963 |
1,663 |
$608.00 |
| 96127 |
|
616 |
616 |
$532.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
13 |
$292.92 |
| 3074F |
|
95 |
79 |
$240.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
783 |
666 |
$200.00 |
| 3078F |
|
44 |
37 |
$121.00 |
| 36410 |
|
26 |
25 |
$91.58 |
| 82270 |
|
14 |
14 |
$40.56 |
| 94760 |
|
374 |
355 |
$23.73 |
| 3511F |
|
175 |
175 |
$0.08 |
| 1220F |
|
156 |
156 |
$0.00 |
| 99000 |
|
1,971 |
1,888 |
$0.00 |
| 3008F |
|
18 |
18 |
$0.00 |
| 2001F |
|
28 |
27 |
$0.00 |
| 2000F |
|
31 |
31 |
$0.00 |
| 3292F |
|
14 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
187 |
172 |
$0.00 |
| 3016F |
|
18 |
18 |
$0.00 |