| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,728 |
7,236 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,339 |
3,162 |
$62K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,234 |
2,208 |
$55K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,330 |
7,563 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
741 |
734 |
$13K |
| 99443 |
|
531 |
493 |
$10K |
| 99442 |
|
455 |
437 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
606 |
601 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
315 |
308 |
$3K |
| 93000 |
|
253 |
251 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
76 |
71 |
$3K |
| 90658 |
|
287 |
287 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
417 |
416 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
629 |
608 |
$3K |
| 90686 |
|
130 |
130 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
30 |
$1K |
| 0001A |
|
37 |
36 |
$1K |
| 0012A |
|
34 |
34 |
$1K |
| 0011A |
|
39 |
39 |
$1K |
| 0031A |
|
37 |
37 |
$1K |
| 99385 |
|
39 |
39 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
159 |
159 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
4,641 |
4,546 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
5,035 |
4,888 |
$943.84 |
| 99441 |
|
252 |
239 |
$926.21 |
| 82947 |
|
277 |
272 |
$848.80 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
89 |
88 |
$663.90 |
| 90656 |
|
105 |
104 |
$434.93 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
21 |
21 |
$398.82 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
70 |
$346.10 |
| 90461 |
|
46 |
46 |
$315.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
90 |
89 |
$233.49 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
90 |
$216.02 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
90 |
89 |
$211.33 |
| 3074F |
|
369 |
352 |
$210.20 |
| 90651 |
|
27 |
27 |
$200.00 |
| 3079F |
|
228 |
213 |
$182.72 |
| 3078F |
|
247 |
232 |
$150.23 |
| 90734 |
|
15 |
15 |
$146.62 |
| 99422 |
|
108 |
104 |
$94.15 |
| 81002 |
|
333 |
328 |
$47.51 |
| 99421 |
|
59 |
59 |
$32.85 |
| 3077F |
|
14 |
14 |
$20.02 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
4,262 |
4,169 |
$0.99 |
| 3008F |
|
3,618 |
3,280 |
$0.65 |
| 3044F |
|
389 |
370 |
$0.48 |
| 3048F |
|
69 |
65 |
$0.14 |
| 3050F |
|
52 |
51 |
$0.09 |
| 91300 |
|
94 |
88 |
$0.05 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,316 |
2,162 |
$0.00 |
| 1000F |
|
2,997 |
2,738 |
$0.00 |
| 99000 |
|
4,279 |
4,200 |
$0.00 |
| 1170F |
|
62 |
57 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,798 |
2,585 |
$0.00 |
| 1036F |
|
2,868 |
2,622 |
$0.00 |
| G2024 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source |
91 |
91 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
166 |
150 |
$0.00 |
| 91301 |
|
53 |
53 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
148 |
137 |
$0.00 |
| 1111F |
|
76 |
72 |
$0.00 |
| 99429 |
|
38 |
31 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
177 |
170 |
$0.00 |
| 91303 |
|
32 |
32 |
$0.00 |
| 3725F |
|
3,122 |
2,853 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,355 |
2,191 |
$0.00 |
| 3016F |
|
1,322 |
1,300 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,856 |
2,639 |
$0.00 |
| 1159F |
|
120 |
114 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
853 |
794 |
$0.00 |
| 1160F |
|
111 |
106 |
$0.00 |
| 4004F |
|
48 |
47 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
74 |
69 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
16 |
16 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$0.00 |