| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,052 |
5,576 |
$581K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,263 |
7,054 |
$557K |
| 99442 |
|
1,261 |
1,106 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,443 |
1,283 |
$60K |
| 90756 |
|
1,295 |
1,291 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
309 |
309 |
$30K |
| 92552 |
|
1,202 |
1,200 |
$27K |
| 99401 |
|
1,478 |
1,341 |
$26K |
| H0001 |
Alcohol and/or drug assessment |
1,143 |
1,127 |
$24K |
| 93000 |
|
1,940 |
1,932 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,650 |
1,630 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
197 |
196 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
132 |
$12K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
724 |
636 |
$9K |
| 3074F |
|
2,190 |
1,764 |
$8K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
765 |
758 |
$7K |
| 99385 |
|
62 |
62 |
$5K |
| 3078F |
|
1,389 |
1,143 |
$5K |
| 90674 |
|
131 |
131 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$4K |
| 3079F |
|
1,173 |
987 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,737 |
2,697 |
$3K |
| 0013A |
|
59 |
59 |
$2K |
| 0011A |
|
49 |
49 |
$2K |
| 0012A |
|
40 |
40 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
164 |
162 |
$1K |
| 3075F |
|
205 |
181 |
$1K |
| 99406 |
|
91 |
82 |
$851.06 |
| 93040 |
|
65 |
65 |
$748.29 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
30 |
$730.00 |
| 99402 |
|
13 |
12 |
$208.00 |
| 99407 |
|
12 |
12 |
$142.56 |
| 82270 |
|
37 |
37 |
$96.37 |
| 3077F |
|
13 |
12 |
$83.00 |
| 3080F |
|
14 |
14 |
$35.00 |
| 91301 |
|
114 |
107 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
14 |
14 |
$0.00 |
| 1000F |
|
13 |
13 |
$0.00 |
| 99408 |
|
53 |
52 |
$0.00 |
| 3725F |
|
19 |
18 |
$0.00 |
| 99499 |
|
42 |
26 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
17 |
15 |
$0.00 |