| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,342 |
1,878 |
$567K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
834 |
696 |
$266K |
| 1036F |
|
2,174 |
1,808 |
$221K |
| 1034F |
|
1,091 |
858 |
$128K |
| H0031 |
Mental health assessment, by non-physician |
444 |
296 |
$103K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
182 |
174 |
$56K |
| 90832 |
Psychotherapy, 30 minutes with patient |
389 |
168 |
$50K |
| 1159F |
|
3,192 |
2,600 |
$47K |
| 2001F |
|
3,935 |
3,203 |
$21K |
| 99215 |
Prolong outpt/office vis |
60 |
51 |
$21K |
| 1160F |
|
3,192 |
2,600 |
$20K |
| 2000F |
|
3,541 |
2,886 |
$17K |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
368 |
301 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
38 |
$12K |
| T1017 |
Targeted case management, each 15 minutes |
246 |
210 |
$9K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
193 |
106 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
20 |
13 |
$3K |
| 99406 |
|
489 |
369 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
41 |
37 |
$2K |
| 4010F |
|
502 |
385 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
237 |
209 |
$965.13 |
| 4274F |
|
324 |
258 |
$863.66 |
| 2010F |
|
4,023 |
3,266 |
$863.66 |
| 4004F |
|
1,036 |
850 |
$0.00 |
| 3078F |
|
1,578 |
1,363 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,958 |
1,556 |
$0.00 |
| 81002 |
|
59 |
51 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,144 |
947 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
28 |
$0.00 |
| 3077F |
|
325 |
274 |
$0.00 |
| 90746 |
|
15 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$0.00 |
| 4040F |
|
27 |
25 |
$0.00 |
| 3079F |
|
1,184 |
1,023 |
$0.00 |
| 96127 |
|
1,648 |
1,393 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
656 |
552 |
$0.00 |
| 3008F |
|
3,901 |
3,168 |
$0.00 |
| 3074F |
|
2,371 |
2,022 |
$0.00 |
| 3075F |
|
459 |
388 |
$0.00 |
| 3080F |
|
242 |
207 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
597 |
492 |
$0.00 |
| 90674 |
|
15 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
62 |
$0.00 |
| 82043 |
|
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
28 |
$0.00 |
| 4037F |
|
14 |
14 |
$0.00 |
| 97802 |
|
84 |
73 |
$0.00 |