| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,826 |
3,665 |
$215K |
| 99385 |
|
355 |
312 |
$36K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
324 |
277 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
231 |
186 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
33 |
$3K |
| 99386 |
|
26 |
24 |
$3K |
| 90756 |
|
107 |
67 |
$2K |
| 0011A |
|
63 |
50 |
$2K |
| 0012A |
|
49 |
44 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
14 |
$2K |
| 99383 |
|
16 |
12 |
$1K |
| 99408 |
|
599 |
462 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
12 |
$1K |
| 90688 |
|
55 |
44 |
$953.50 |
| 99406 |
|
201 |
161 |
$922.93 |
| 0001A |
|
21 |
14 |
$884.94 |
| 97803 |
|
1,369 |
1,107 |
$779.44 |
| 90686 |
|
16 |
12 |
$260.19 |
| 81025 |
|
54 |
49 |
$240.33 |
| 90734 |
|
21 |
14 |
$134.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
415 |
308 |
$18.05 |
| 36415 |
Collection of venous blood by venipuncture |
124 |
100 |
$1.37 |
| 91301 |
|
95 |
78 |
$0.01 |
| 3074F |
|
1,512 |
1,125 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
966 |
728 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
983 |
779 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,522 |
1,162 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,767 |
1,433 |
$0.00 |
| 1036F |
|
227 |
167 |
$0.00 |
| 3079F |
|
269 |
197 |
$0.00 |
| 1101F |
|
55 |
40 |
$0.00 |
| 3075F |
|
320 |
253 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
57 |
50 |
$0.00 |
| G9793 |
Patient is currently on a daily aspirin or other antiplatelet |
24 |
16 |
$0.00 |
| 4004F |
|
746 |
617 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
988 |
784 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,528 |
1,239 |
$0.00 |
| 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 |
36 |
31 |
$0.00 |
| 3078F |
|
189 |
131 |
$0.00 |
| 4274F |
|
95 |
63 |
$0.00 |
| 1003F |
|
272 |
210 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
104 |
91 |
$0.00 |
| G9796 |
Patient is currently on a high intensity statin therapy |
29 |
19 |
$0.00 |