| Code | Description | Claims | Beneficiaries | Total Paid |
| 92552 |
|
586 |
585 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,498 |
2,353 |
$37.50 |
| H0049 |
Alcohol and/or drug screening |
1,912 |
1,802 |
$1.00 |
| G9920 |
Screening performed and negative |
1,154 |
1,137 |
$0.00 |
| 99408 |
|
420 |
400 |
$0.00 |
| 3078F |
|
1,121 |
1,082 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
632 |
597 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,127 |
1,100 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
140 |
139 |
$0.00 |
| 98960 |
|
293 |
276 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
287 |
283 |
$0.00 |
| 3077F |
|
198 |
188 |
$0.00 |
| 99173 |
|
685 |
683 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
53 |
52 |
$0.00 |
| 1124F |
|
193 |
193 |
$0.00 |
| 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 |
26 |
24 |
$0.00 |
| 1158F |
|
85 |
85 |
$0.00 |
| 96160 |
|
491 |
487 |
$0.00 |
| 98966 |
|
48 |
47 |
$0.00 |
| 4004F |
|
596 |
559 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$0.00 |
| 3050F |
|
54 |
54 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
76 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
20 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$0.00 |
| 3074F |
|
1,257 |
1,204 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,101 |
1,046 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,218 |
1,192 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
741 |
701 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
341 |
335 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
493 |
477 |
$0.00 |
| 1036F |
|
1,610 |
1,518 |
$0.00 |
| 97802 |
|
1,411 |
1,352 |
$0.00 |
| 1000F |
|
193 |
180 |
$0.00 |
| 3049F |
|
52 |
52 |
$0.00 |
| 3008F |
|
1,287 |
1,225 |
$0.00 |
| 3079F |
|
580 |
558 |
$0.00 |
| 1031F |
|
297 |
293 |
$0.00 |
| 3011F |
|
22 |
22 |
$0.00 |
| 99386 |
|
14 |
14 |
$0.00 |
| 3075F |
|
272 |
265 |
$0.00 |
| 94760 |
|
16 |
16 |
$0.00 |
| 99385 |
|
41 |
41 |
$0.00 |
| 96161 |
|
16 |
15 |
$0.00 |
| 3080F |
|
87 |
85 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
29 |
27 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
21 |
19 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |
| 3048F |
|
34 |
34 |
$0.00 |