| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
4,586 |
4,055 |
$18K |
| 99205 |
Prolong outpt/office vis |
306 |
306 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,096 |
3,762 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,752 |
5,387 |
$10K |
| 94760 |
|
13,831 |
12,707 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
261 |
260 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,037 |
5,307 |
$4K |
| 92551 |
|
771 |
732 |
$4K |
| 93000 |
|
149 |
147 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
288 |
280 |
$3K |
| 99385 |
|
43 |
43 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,122 |
1,059 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
191 |
190 |
$903.64 |
| 99382 |
|
42 |
40 |
$653.24 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
22 |
17 |
$538.58 |
| 99407 |
|
249 |
239 |
$509.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
145 |
145 |
$446.45 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
516 |
505 |
$426.20 |
| 99406 |
|
421 |
389 |
$404.19 |
| 1125F |
|
2,045 |
1,935 |
$400.00 |
| 85018 |
|
852 |
835 |
$331.42 |
| 99401 |
|
11,131 |
10,284 |
$276.32 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$253.66 |
| 81002 |
|
646 |
639 |
$186.76 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
5,006 |
4,334 |
$154.08 |
| 90688 |
|
36 |
36 |
$36.94 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
47 |
$36.57 |
| G9920 |
Screening performed and negative |
81 |
80 |
$29.00 |
| 88174 |
|
96 |
95 |
$18.11 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
67 |
$17.92 |
| 99448 |
|
518 |
474 |
$11.39 |
| 82962 |
|
41 |
40 |
$1.98 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
55 |
$0.00 |
| 3078F |
|
4,025 |
3,868 |
$0.00 |
| 1160F |
|
13,377 |
12,032 |
$0.00 |
| 99173 |
|
896 |
826 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,221 |
3,732 |
$0.00 |
| 4158F |
|
240 |
233 |
$0.00 |
| 3016F |
|
1,495 |
1,421 |
$0.00 |
| 4306F |
|
150 |
148 |
$0.00 |
| 3077F |
|
896 |
864 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
330 |
320 |
$0.00 |
| 99408 |
|
15 |
15 |
$0.00 |
| 0521F |
|
1,800 |
1,729 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
187 |
182 |
$0.00 |
| 3045F |
|
28 |
24 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
256 |
251 |
$0.00 |
| 2028F |
|
220 |
211 |
$0.00 |
| 1159F |
|
109 |
108 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
85 |
84 |
$0.00 |
| 90461 |
|
46 |
45 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
131 |
101 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
104 |
104 |
$0.00 |
| 99449 |
|
61 |
60 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
17 |
17 |
$0.00 |
| 96160 |
|
38 |
38 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$0.00 |
| 3008F |
|
15,886 |
14,208 |
$0.00 |
| 3074F |
|
5,146 |
4,927 |
$0.00 |
| 1126F |
|
2,438 |
2,275 |
$0.00 |
| 3079F |
|
1,936 |
1,888 |
$0.00 |
| 1111F |
|
12,591 |
11,449 |
$0.00 |
| 3075F |
|
717 |
706 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
596 |
542 |
$0.00 |
| 1036F |
|
1,243 |
1,191 |
$0.00 |
| 3080F |
|
801 |
779 |
$0.00 |
| 2001F |
|
25 |
25 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,203 |
1,176 |
$0.00 |
| 3011F |
|
282 |
278 |
$0.00 |
| 1220F |
|
47 |
47 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
49 |
49 |
$0.00 |
| 0545F |
|
15 |
15 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 4000F |
|
16 |
16 |
$0.00 |