| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,668 |
3,517 |
$404K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,003 |
2,306 |
$331K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
717 |
369 |
$106K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
323 |
300 |
$32K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
322 |
160 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
93 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,297 |
1,119 |
$16K |
| 96415 |
|
375 |
189 |
$12K |
| 99205 |
Prolong outpt/office vis |
39 |
39 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
970 |
956 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
279 |
274 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,091 |
1,067 |
$4K |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
961 |
458 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,087 |
1,063 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
4,142 |
2,431 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
777 |
755 |
$2K |
| 90686 |
|
109 |
108 |
$2K |
| 90674 |
|
62 |
62 |
$2K |
| 93000 |
|
107 |
106 |
$1K |
| 96401 |
|
13 |
13 |
$1K |
| 90662 |
|
18 |
18 |
$866.61 |
| 81002 |
|
291 |
289 |
$747.19 |
| 99051 |
|
131 |
117 |
$735.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
49 |
$687.73 |
| J7050 |
Infusion, normal saline solution, 250 cc |
815 |
406 |
$582.57 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
962 |
941 |
$571.86 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
351 |
168 |
$182.87 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
413 |
408 |
$135.00 |
| 1170F |
|
247 |
239 |
$133.00 |
| 82270 |
|
36 |
27 |
$91.47 |
| 3074F |
|
91 |
88 |
$64.00 |
| 3079F |
|
71 |
71 |
$52.50 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
31 |
31 |
$44.50 |
| 3078F |
|
69 |
67 |
$41.00 |
| 1126F |
|
105 |
105 |
$38.10 |
| S5000 |
Prescription drug, generic |
102 |
91 |
$36.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
105 |
104 |
$33.25 |
| 3075F |
|
46 |
45 |
$20.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
49 |
48 |
$11.00 |
| 1158F |
|
108 |
108 |
$10.00 |
| 1160F |
|
352 |
344 |
$9.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
57 |
56 |
$1.00 |
| 99000 |
|
900 |
800 |
$0.00 |
| 1000F |
|
249 |
241 |
$0.00 |
| 1036F |
|
358 |
350 |
$0.00 |
| 3016F |
|
384 |
373 |
$0.00 |
| 3725F |
|
277 |
266 |
$0.00 |
| 3288F |
|
408 |
395 |
$0.00 |
| 99501 |
|
35 |
35 |
$0.00 |