| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,651 |
4,241 |
$264K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,174 |
2,976 |
$115K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
805 |
804 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,435 |
2,412 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
808 |
807 |
$59K |
| 92552 |
|
2,559 |
2,550 |
$55K |
| H0049 |
Alcohol and/or drug screening |
1,242 |
1,238 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
144 |
143 |
$11K |
| 96127 |
|
3,202 |
3,191 |
$9K |
| 90461 |
|
197 |
197 |
$8K |
| 97802 |
|
488 |
487 |
$6K |
| 99442 |
|
156 |
147 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
228 |
226 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
961 |
958 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,763 |
2,746 |
$3K |
| S9452 |
Nutrition classes, non-physician provider, per session |
282 |
281 |
$2K |
| 90686 |
|
832 |
829 |
$2K |
| S9451 |
Exercise classes, non-physician provider, per session |
304 |
303 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$1K |
| 99173 |
|
1,508 |
1,504 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
878 |
874 |
$1K |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
986 |
983 |
$896.50 |
| 99401 |
|
33 |
33 |
$704.76 |
| H0001 |
Alcohol and/or drug assessment |
43 |
42 |
$577.30 |
| 99441 |
|
42 |
40 |
$505.30 |
| G9153 |
Mapcp demonstration - physician incentive pool |
664 |
664 |
$408.10 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
12 |
12 |
$213.90 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
15 |
$178.00 |
| 86580 |
|
15 |
15 |
$92.92 |
| 4293F |
|
548 |
545 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,332 |
1,331 |
$0.00 |
| 1036F |
|
385 |
384 |
$0.00 |
| 96161 |
|
1,675 |
1,672 |
$0.00 |
| 1000F |
|
418 |
416 |
$0.00 |
| 3008F |
|
2,196 |
2,191 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
13 |
13 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,006 |
1,004 |
$0.00 |
| 96160 |
|
3,111 |
3,103 |
$0.00 |
| 1159F |
|
543 |
539 |
$0.00 |
| 3725F |
|
993 |
988 |
$0.00 |
| 3016F |
|
991 |
986 |
$0.00 |
| 1160F |
|
544 |
540 |
$0.00 |
| 83655 |
|
277 |
277 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
41 |
41 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |