| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,005 |
11,113 |
$13K |
| 90732 |
|
141 |
140 |
$12K |
| 90688 |
|
984 |
977 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,833 |
4,660 |
$9K |
| 90756 |
|
402 |
400 |
$8K |
| 92552 |
|
674 |
670 |
$8K |
| 90715 |
|
199 |
197 |
$7K |
| 99454 |
|
195 |
192 |
$3K |
| 99385 |
|
752 |
751 |
$2K |
| 90658 |
|
120 |
120 |
$2K |
| 90674 |
|
102 |
102 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
874 |
819 |
$1K |
| 99458 |
|
161 |
157 |
$1K |
| 99457 |
|
187 |
183 |
$989.65 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
69 |
$841.09 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,533 |
2,508 |
$741.50 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
426 |
422 |
$631.60 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
753 |
753 |
$317.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
178 |
176 |
$263.87 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
475 |
443 |
$193.35 |
| 96156 |
|
321 |
321 |
$84.30 |
| 99386 |
|
206 |
206 |
$76.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
127 |
125 |
$57.21 |
| 99442 |
|
18 |
16 |
$54.88 |
| 87110 |
|
412 |
412 |
$53.07 |
| 99453 |
|
27 |
24 |
$50.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
580 |
553 |
$33.36 |
| 99422 |
|
259 |
255 |
$22.74 |
| 99441 |
|
82 |
76 |
$5.94 |
| 3078F |
|
1,910 |
1,808 |
$0.00 |
| 99173 |
|
100 |
100 |
$0.00 |
| G9920 |
Screening performed and negative |
827 |
826 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
594 |
591 |
$0.00 |
| 3077F |
|
667 |
638 |
$0.00 |
| 99421 |
|
14 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
28 |
$0.00 |
| 99397 |
|
15 |
15 |
$0.00 |
| 3079F |
|
1,631 |
1,567 |
$0.00 |
| 3075F |
|
984 |
948 |
$0.00 |
| 3353F |
|
299 |
298 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,594 |
1,593 |
$0.00 |
| 1220F |
|
445 |
445 |
$0.00 |
| 3351F |
|
740 |
739 |
$0.00 |
| 3074F |
|
2,509 |
2,369 |
$0.00 |
| 1111F |
|
445 |
445 |
$0.00 |
| 99406 |
|
17 |
17 |
$0.00 |
| 3352F |
|
345 |
344 |
$0.00 |
| 3080F |
|
672 |
649 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
257 |
257 |
$0.00 |
| 99384 |
|
27 |
26 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
16 |
$0.00 |
| 1036F |
|
26 |
26 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |