| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93000 |
|
1,850 |
1,845 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,659 |
4,594 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,735 |
1,735 |
$13K |
| 93272 |
|
1,974 |
1,969 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
143 |
142 |
$6K |
| 3078F |
|
4,425 |
4,295 |
$5K |
| 3074F |
|
4,199 |
4,079 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,286 |
3,283 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
3,909 |
3,895 |
$2K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,464 |
3,461 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
97 |
97 |
$1K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
1,739 |
1,734 |
$783.04 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
356 |
356 |
$695.37 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,628 |
6,398 |
$664.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
43 |
$545.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
27 |
$294.11 |
| 99401 |
|
382 |
378 |
$247.06 |
| 94760 |
|
5,884 |
5,693 |
$238.60 |
| A4258 |
Spring-powered device for lancet, each |
686 |
670 |
$222.94 |
| 82948 |
|
758 |
741 |
$214.82 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
375 |
373 |
$146.81 |
| A4252 |
Blood ketone test or reagent strip, each |
675 |
659 |
$137.95 |
| 99386 |
|
46 |
46 |
$114.00 |
| 97802 |
|
252 |
248 |
$42.28 |
| 3075F |
|
27 |
27 |
$25.01 |
| 3079F |
|
12 |
12 |
$22.51 |
| 99406 |
|
13 |
12 |
$15.52 |
| 36415 |
Collection of venous blood by venipuncture |
60 |
59 |
$11.05 |
| A4930 |
Gloves, sterile, per pair |
238 |
233 |
$2.00 |
| 3008F |
|
5,029 |
4,851 |
$0.62 |
| 3048F |
|
769 |
767 |
$0.13 |
| 3061F |
|
204 |
204 |
$0.01 |
| 3049F |
|
240 |
239 |
$0.01 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,818 |
2,745 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
3,167 |
3,166 |
$0.00 |
| 2010F |
|
5,040 |
4,863 |
$0.00 |
| 3017F |
|
70 |
68 |
$0.00 |
| 1000F |
|
2,598 |
2,594 |
$0.00 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
119 |
119 |
$0.00 |
| 4293F |
|
77 |
77 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
128 |
128 |
$0.00 |
| 99000 |
|
57 |
56 |
$0.00 |
| 1036F |
|
70 |
70 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
58 |
57 |
$0.00 |
| 2001F |
|
183 |
179 |
$0.00 |
| 3011F |
|
114 |
114 |
$0.00 |
| 99385 |
|
14 |
14 |
$0.00 |
| 3044F |
|
91 |
91 |
$0.00 |
| 2000F |
|
175 |
171 |
$0.00 |
| 3014F |
|
26 |
26 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 3725F |
|
2,610 |
2,605 |
$0.00 |
| 3016F |
|
2,548 |
2,544 |
$0.00 |
| 2022F |
|
12 |
12 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
1,439 |
1,401 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
56 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,374 |
1,321 |
$0.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
17 |
14 |
$0.00 |
| 3050F |
|
287 |
287 |
$0.00 |
| 1160F |
|
189 |
185 |
$0.00 |
| 1159F |
|
189 |
185 |
$0.00 |
| 90863 |
|
12 |
12 |
$0.00 |
| 99499 |
|
15 |
15 |
$0.00 |
| 3015F |
|
22 |
22 |
$0.00 |