| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,086 |
5,298 |
$340K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,380 |
3,828 |
$320K |
| 99401 |
|
4,732 |
3,866 |
$149K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,205 |
2,031 |
$61K |
| 99408 |
|
1,261 |
1,155 |
$38K |
| 96127 |
|
3,543 |
3,312 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
275 |
269 |
$23K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
507 |
447 |
$19K |
| 99406 |
|
1,596 |
1,352 |
$16K |
| 92551 |
|
1,348 |
1,285 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
124 |
91 |
$13K |
| 99173 |
|
1,351 |
1,300 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
101 |
99 |
$12K |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
444 |
376 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
117 |
117 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
937 |
894 |
$10K |
| 90674 |
|
551 |
538 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
464 |
434 |
$8K |
| 99215 |
Prolong outpt/office vis |
52 |
51 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
206 |
189 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
51 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
232 |
182 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$4K |
| 99497 |
|
117 |
117 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
364 |
354 |
$3K |
| 99000 |
|
859 |
783 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
124 |
118 |
$2K |
| 81002 |
|
459 |
440 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
72 |
70 |
$990.00 |
| G0245 |
Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
12 |
12 |
$618.64 |
| H0049 |
Alcohol and/or drug screening |
54 |
53 |
$497.84 |
| 90661 |
|
37 |
18 |
$442.20 |
| 90694 |
|
27 |
24 |
$186.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$161.16 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
13 |
$140.00 |
| 90653 |
|
13 |
13 |
$83.49 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
19 |
19 |
$14.00 |
| G0008 |
Administration of influenza virus vaccine |
146 |
142 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
30 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 3078F |
|
14 |
13 |
$0.00 |