| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,210 |
5,665 |
$327K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,896 |
2,555 |
$90K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,788 |
1,785 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,595 |
3,179 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
722 |
719 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
672 |
670 |
$37K |
| S9470 |
Nutritional counseling, dietitian visit |
1,464 |
1,461 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
345 |
345 |
$19K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
766 |
766 |
$17K |
| 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 |
1,100 |
1,098 |
$15K |
| 92551 |
|
2,084 |
2,082 |
$14K |
| H0049 |
Alcohol and/or drug screening |
538 |
538 |
$14K |
| 99401 |
|
554 |
553 |
$13K |
| 99406 |
|
904 |
902 |
$10K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,007 |
1,006 |
$10K |
| 99442 |
|
140 |
140 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,638 |
1,632 |
$3K |
| 99000 |
|
799 |
796 |
$2K |
| 99408 |
|
173 |
173 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
61 |
61 |
$944.43 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
174 |
172 |
$887.53 |
| 99173 |
|
679 |
678 |
$813.73 |
| 90686 |
|
2,073 |
2,070 |
$660.67 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
31 |
31 |
$390.00 |
| 99441 |
|
33 |
31 |
$367.13 |
| 96127 |
|
768 |
768 |
$178.95 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
794 |
793 |
$31.20 |
| 3725F |
|
933 |
931 |
$0.00 |
| 90461 |
|
267 |
240 |
$0.00 |
| 3016F |
|
32 |
32 |
$0.00 |
| 90734 |
|
65 |
65 |
$0.00 |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
27 |
27 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
143 |
143 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
59 |
59 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |
| 90670 |
|
15 |
15 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 3008F |
|
2,277 |
2,238 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
947 |
946 |
$0.00 |
| 1036F |
|
948 |
946 |
$0.00 |
| 90651 |
|
72 |
71 |
$0.00 |
| 1000F |
|
453 |
451 |
$0.00 |
| 90716 |
|
49 |
49 |
$0.00 |