| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,702 |
13,267 |
$849K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,094 |
2,945 |
$247K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,855 |
1,852 |
$125K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,284 |
2,955 |
$107K |
| 99401 |
|
2,459 |
2,252 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
739 |
738 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,444 |
1,408 |
$21K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
219 |
219 |
$21K |
| 90746 |
|
171 |
171 |
$11K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
140 |
139 |
$9K |
| 93000 |
|
587 |
584 |
$9K |
| 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 |
1,159 |
1,152 |
$7K |
| 90686 |
|
307 |
306 |
$6K |
| 90688 |
|
340 |
340 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
388 |
385 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
133 |
127 |
$5K |
| 90658 |
|
285 |
285 |
$5K |
| 36410 |
|
1,508 |
1,465 |
$5K |
| 94010 |
|
147 |
145 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
942 |
936 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,681 |
3,613 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,170 |
1,166 |
$2K |
| 90674 |
|
83 |
83 |
$2K |
| H0049 |
Alcohol and/or drug screening |
1,047 |
1,041 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
154 |
153 |
$2K |
| 3074F |
|
527 |
515 |
$1K |
| 99496 |
|
14 |
14 |
$1K |
| 94016 |
|
147 |
145 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
215 |
215 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
46 |
46 |
$1K |
| 82962 |
|
788 |
707 |
$1K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
755 |
671 |
$899.29 |
| 3078F |
|
364 |
354 |
$885.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
39 |
$337.09 |
| 0521F |
|
181 |
175 |
$312.00 |
| 99442 |
|
185 |
170 |
$298.00 |
| 3079F |
|
114 |
114 |
$254.00 |
| 83014 |
|
93 |
93 |
$241.97 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
18 |
18 |
$215.10 |
| 96127 |
|
53 |
53 |
$213.68 |
| 93922 |
|
12 |
12 |
$209.50 |
| 82948 |
|
71 |
66 |
$116.32 |
| 1125F |
|
20 |
19 |
$106.00 |
| 3075F |
|
15 |
15 |
$39.00 |
| 1159F |
|
143 |
140 |
$36.00 |
| 1160F |
|
143 |
140 |
$28.50 |
| 3048F |
|
29 |
29 |
$24.00 |
| 3061F |
|
14 |
14 |
$24.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,086 |
1,081 |
$18.02 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
439 |
436 |
$8.11 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
29 |
27 |
$7.75 |
| 3008F |
|
176 |
175 |
$0.02 |
| 3016F |
|
683 |
677 |
$0.00 |
| 4013F |
|
60 |
58 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
45 |
44 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
64 |
64 |
$0.00 |
| 3725F |
|
270 |
270 |
$0.00 |
| 3015F |
|
99 |
98 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
31 |
30 |
$0.00 |
| 3017F |
|
175 |
171 |
$0.00 |
| 4010F |
|
13 |
13 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |
| 3014F |
|
14 |
13 |
$0.00 |