| Code | Description | Claims | Beneficiaries | Total Paid |
| S9083 |
Global fee urgent care centers |
6,901 |
6,032 |
$447K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,012 |
8,011 |
$87K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
716 |
694 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,423 |
1,293 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
177 |
169 |
$2K |
| 99385 |
|
58 |
58 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
316 |
314 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
161 |
160 |
$519.60 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
15 |
13 |
$467.68 |
| 99386 |
|
28 |
27 |
$405.03 |
| 99384 |
|
13 |
13 |
$362.68 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$253.66 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
33 |
$191.58 |
| 94760 |
|
4,111 |
3,627 |
$181.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
112 |
103 |
$104.03 |
| 99401 |
|
2,522 |
2,284 |
$59.01 |
| 99000 |
|
178 |
174 |
$43.47 |
| 99406 |
|
289 |
256 |
$23.78 |
| 92552 |
|
14 |
14 |
$16.52 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
56 |
55 |
$16.26 |
| 95065 |
|
13 |
12 |
$8.86 |
| Q3014 |
Telehealth originating site facility fee |
158 |
142 |
$2.88 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
42 |
41 |
$1.23 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
156 |
141 |
$0.70 |
| G9275 |
Documentation that patient is a current non-tobacco user |
434 |
351 |
$0.00 |
| 1125F |
|
1,811 |
1,700 |
$0.00 |
| 2010F |
|
380 |
340 |
$0.00 |
| 2001F |
|
844 |
777 |
$0.00 |
| 3075F |
|
133 |
129 |
$0.00 |
| 3074F |
|
411 |
386 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
2,270 |
1,927 |
$0.00 |
| 3008F |
|
4,265 |
3,708 |
$0.00 |
| 3079F |
|
352 |
337 |
$0.00 |
| 1034F |
|
352 |
326 |
$0.00 |
| 1036F |
|
1,050 |
913 |
$0.00 |
| 1000F |
|
241 |
232 |
$0.00 |
| 1126F |
|
806 |
730 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27 |
27 |
$0.00 |
| 3080F |
|
598 |
570 |
$0.00 |
| 96156 |
|
68 |
67 |
$0.00 |
| 2000F |
|
499 |
467 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
393 |
367 |
$0.00 |
| 4010F |
|
126 |
117 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
103 |
88 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
134 |
126 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
30 |
28 |
$0.00 |
| 96127 |
|
14 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
113 |
107 |
$0.00 |
| 1160F |
|
1,466 |
1,296 |
$0.00 |
| 1159F |
|
2,064 |
1,821 |
$0.00 |
| 3077F |
|
835 |
789 |
$0.00 |
| 99408 |
|
806 |
673 |
$0.00 |
| 81003 |
|
131 |
122 |
$0.00 |
| 3078F |
|
525 |
501 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
46 |
46 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
434 |
403 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$0.00 |
| 4004F |
|
266 |
236 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
106 |
92 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |