| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,669 |
6,467 |
$61K |
| 93000 |
|
3,929 |
3,927 |
$58K |
| 94010 |
|
1,155 |
1,154 |
$33K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,039 |
2,029 |
$30K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,550 |
7,254 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
706 |
706 |
$10K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
3,428 |
3,389 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
340 |
340 |
$3K |
| 99442 |
|
289 |
278 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
7,015 |
6,912 |
$2K |
| 90656 |
|
348 |
347 |
$2K |
| 99406 |
|
120 |
110 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
181 |
175 |
$1K |
| 90756 |
|
183 |
183 |
$644.33 |
| 82270 |
|
805 |
803 |
$488.00 |
| 3079F |
|
615 |
606 |
$474.00 |
| 3078F |
|
628 |
609 |
$465.50 |
| 3077F |
|
268 |
259 |
$405.00 |
| 82948 |
|
2,215 |
2,152 |
$387.09 |
| 3074F |
|
627 |
606 |
$359.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
3,854 |
3,852 |
$328.23 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
71 |
69 |
$288.18 |
| 86580 |
|
42 |
40 |
$272.96 |
| 1159F |
|
3,982 |
3,866 |
$248.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
52 |
$232.86 |
| 90674 |
|
17 |
17 |
$174.70 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,179 |
3,071 |
$174.00 |
| 3075F |
|
165 |
162 |
$151.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
18 |
18 |
$142.80 |
| 3061F |
|
1,157 |
1,118 |
$138.00 |
| 99386 |
|
24 |
24 |
$117.11 |
| 81003 |
|
86 |
86 |
$86.02 |
| 3049F |
|
225 |
219 |
$50.00 |
| 3048F |
|
711 |
692 |
$46.00 |
| 3050F |
|
448 |
441 |
$42.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$40.00 |
| 3044F |
|
221 |
210 |
$30.00 |
| H0001 |
Alcohol and/or drug assessment |
3,609 |
3,554 |
$15.12 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
963 |
962 |
$11.25 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
6,532 |
6,307 |
$2.50 |
| 3008F |
|
5,808 |
5,564 |
$0.36 |
| 1036F |
|
4,126 |
3,977 |
$0.00 |
| 2001F |
|
149 |
146 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,154 |
3,040 |
$0.00 |
| 99000 |
|
6,817 |
6,676 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
3,340 |
3,308 |
$0.00 |
| 2010F |
|
5,851 |
5,600 |
$0.00 |
| 1125F |
|
459 |
447 |
$0.00 |
| 1126F |
|
1,266 |
1,244 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
15 |
15 |
$0.00 |
| 0001F |
|
547 |
528 |
$0.00 |
| 1000F |
|
103 |
95 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
27 |
27 |
$0.00 |
| 4000F |
|
44 |
42 |
$0.00 |
| 1157F |
|
13 |
12 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
44 |
44 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,968 |
2,853 |
$0.00 |
| 2028F |
|
3,209 |
3,145 |
$0.00 |
| 3725F |
|
4,567 |
4,397 |
$0.00 |
| 3016F |
|
2,226 |
2,205 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
26 |
24 |
$0.00 |
| 1160F |
|
160 |
156 |
$0.00 |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
35 |
35 |
$0.00 |
| 86480 |
|
24 |
24 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
93 |
93 |
$0.00 |
| 1494F |
|
13 |
13 |
$0.00 |
| 1158F |
|
26 |
25 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| 2014F |
|
13 |
13 |
$0.00 |
| 3288F |
|
13 |
13 |
$0.00 |