| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,301 |
11,391 |
$1.02M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,174 |
4,747 |
$141K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,329 |
1,320 |
$104K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,537 |
1,355 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
780 |
770 |
$60K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,290 |
2,221 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
372 |
368 |
$30K |
| 99401 |
|
1,454 |
1,316 |
$23K |
| 90674 |
|
714 |
712 |
$21K |
| 99051 |
|
5,761 |
4,949 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
165 |
163 |
$16K |
| 3074F |
|
6,458 |
5,270 |
$14K |
| 90686 |
|
735 |
733 |
$14K |
| 3078F |
|
6,037 |
4,963 |
$13K |
| 99397 |
|
167 |
166 |
$12K |
| 82948 |
|
2,240 |
2,071 |
$6K |
| 90661 |
|
127 |
125 |
$5K |
| 3079F |
|
2,076 |
1,906 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,129 |
2,036 |
$3K |
| 90656 |
|
100 |
99 |
$2K |
| 3075F |
|
1,067 |
994 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
1,432 |
1,400 |
$2K |
| 90756 |
|
95 |
95 |
$2K |
| 90688 |
|
90 |
90 |
$1K |
| 99442 |
|
44 |
43 |
$1K |
| H0049 |
Alcohol and/or drug screening |
1,794 |
1,766 |
$1K |
| 92552 |
|
67 |
61 |
$1K |
| 3044F |
|
1,722 |
1,691 |
$1K |
| 90746 |
|
13 |
13 |
$835.80 |
| 36415 |
Collection of venous blood by venipuncture |
4,531 |
4,441 |
$790.98 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,163 |
2,129 |
$766.46 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
32 |
$736.60 |
| 3077F |
|
716 |
670 |
$666.00 |
| 82565 |
|
1,998 |
1,967 |
$659.75 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
24 |
24 |
$596.50 |
| 3048F |
|
1,099 |
1,082 |
$568.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,789 |
2,576 |
$525.00 |
| 82947 |
|
410 |
375 |
$460.50 |
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
2,562 |
2,377 |
$346.00 |
| 1160F |
|
6,158 |
5,672 |
$312.50 |
| 99441 |
|
52 |
48 |
$286.81 |
| 92551 |
|
67 |
61 |
$267.50 |
| 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 |
37 |
36 |
$224.00 |
| 1159F |
|
4,897 |
4,598 |
$180.00 |
| 3061F |
|
307 |
300 |
$112.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$80.00 |
| 3080F |
|
134 |
129 |
$77.50 |
| 82962 |
|
33 |
28 |
$57.36 |
| S9470 |
Nutritional counseling, dietitian visit |
1,309 |
1,288 |
$50.00 |
| 3049F |
|
369 |
362 |
$40.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,884 |
1,867 |
$35.00 |
| G9508 |
Documentation that the patient is not on a statin medication |
614 |
604 |
$27.00 |
| 3051F |
|
57 |
55 |
$20.00 |
| 3046F |
|
79 |
79 |
$20.00 |
| 81005 |
|
2,838 |
2,782 |
$14.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,934 |
1,849 |
$12.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,784 |
1,754 |
$10.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22 |
22 |
$10.00 |
| 3008F |
|
3,506 |
3,219 |
$1.45 |
| 4010F |
|
867 |
823 |
$0.83 |
| 1000F |
|
2,346 |
2,247 |
$0.00 |
| 82270 |
|
86 |
85 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,123 |
1,034 |
$0.00 |
| 99000 |
|
4,830 |
4,509 |
$0.00 |
| 4008F |
|
383 |
356 |
$0.00 |
| 1036F |
|
2,195 |
2,100 |
$0.00 |
| 4037F |
|
1,779 |
1,771 |
$0.00 |
| 4086F |
|
727 |
687 |
$0.00 |
| 3017F |
|
262 |
257 |
$0.00 |
| 3292F |
|
573 |
568 |
$0.00 |
| 2016F |
|
95 |
84 |
$0.00 |
| 4015F |
|
92 |
82 |
$0.00 |
| 96127 |
|
238 |
238 |
$0.00 |
| 4293F |
|
28 |
27 |
$0.00 |
| 3060F |
|
12 |
12 |
$0.00 |
| 82435 |
|
13 |
13 |
$0.00 |
| 88150 |
|
12 |
12 |
$0.00 |
| 1111F |
|
15 |
15 |
$0.00 |
| 1101F |
|
12 |
12 |
$0.00 |
| 3052F |
|
14 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,927 |
1,799 |
$0.00 |
| 4013F |
|
1,771 |
1,682 |
$0.00 |
| 3016F |
|
1,730 |
1,711 |
$0.00 |
| 3725F |
|
2,419 |
2,312 |
$0.00 |
| 4004F |
|
1,924 |
1,904 |
$0.00 |
| 99408 |
|
605 |
600 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
266 |
241 |
$0.00 |
| 2028F |
|
310 |
277 |
$0.00 |
| 3050F |
|
223 |
221 |
$0.00 |
| S9441 |
Asthma education, non-physician provider, per session |
94 |
83 |
$0.00 |
| 3015F |
|
43 |
39 |
$0.00 |
| 99173 |
|
94 |
85 |
$0.00 |
| 82374 |
|
13 |
13 |
$0.00 |
| 1100F |
|
12 |
12 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |