| Code | Description | Claims | Beneficiaries | Total Paid |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,210 |
2,210 |
$34K |
| 92552 |
|
1,629 |
1,628 |
$24K |
| 93000 |
|
137 |
137 |
$3K |
| 94060 |
|
82 |
80 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,920 |
2,823 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
799 |
799 |
$1K |
| 99386 |
|
514 |
514 |
$654.40 |
| 90686 |
|
20 |
20 |
$393.68 |
| 99205 |
Prolong outpt/office vis |
323 |
323 |
$327.48 |
| G9920 |
Screening performed and negative |
1,880 |
1,879 |
$315.81 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,298 |
1,275 |
$308.56 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,986 |
1,985 |
$232.98 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
478 |
477 |
$217.60 |
| 99385 |
|
535 |
535 |
$178.20 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
597 |
597 |
$155.33 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
1,260 |
1,074 |
$127.10 |
| 99215 |
Prolong outpt/office vis |
169 |
169 |
$113.26 |
| 97802 |
|
12 |
12 |
$99.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
77 |
$85.14 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
85 |
83 |
$61.48 |
| 98966 |
|
659 |
624 |
$59.92 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
181 |
181 |
$49.51 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
181 |
163 |
$35.84 |
| 98968 |
|
1,045 |
884 |
$24.39 |
| 81002 |
|
379 |
368 |
$12.78 |
| 81000 |
|
116 |
114 |
$5.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
32 |
$3.04 |
| 96160 |
|
77 |
77 |
$1.41 |
| 3008F |
|
4,158 |
4,034 |
$0.00 |
| 3044F |
|
274 |
272 |
$0.00 |
| 3017F |
|
504 |
442 |
$0.00 |
| 3014F |
|
235 |
235 |
$0.00 |
| 3075F |
|
593 |
585 |
$0.00 |
| 3049F |
|
354 |
353 |
$0.00 |
| 1126F |
|
631 |
630 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
66 |
65 |
$0.00 |
| 99406 |
|
14 |
14 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
221 |
208 |
$0.00 |
| 3048F |
|
289 |
289 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
269 |
242 |
$0.00 |
| 1125F |
|
467 |
460 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
24 |
$0.00 |
| 3079F |
|
903 |
891 |
$0.00 |
| 1036F |
|
2,211 |
2,191 |
$0.00 |
| 3074F |
|
2,318 |
2,278 |
$0.00 |
| 3080F |
|
177 |
160 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$0.00 |
| 1111F |
|
177 |
177 |
$0.00 |
| 82746 |
|
42 |
42 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
229 |
220 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
43 |
41 |
$0.00 |
| 1034F |
|
14 |
14 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
198 |
195 |
$0.00 |
| 82607 |
|
42 |
42 |
$0.00 |
| 3011F |
|
27 |
27 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
60 |
60 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
12 |
$0.00 |
| 3077F |
|
343 |
320 |
$0.00 |
| 3078F |
|
2,157 |
2,110 |
$0.00 |
| 3050F |
|
243 |
242 |
$0.00 |
| 1160F |
|
42 |
42 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
28 |
$0.00 |
| 1158F |
|
450 |
449 |
$0.00 |
| 80061 |
Lipid panel |
182 |
180 |
$0.00 |
| 81025 |
|
50 |
48 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
516 |
516 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
54 |
54 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 1159F |
|
30 |
30 |
$0.00 |
| 4004F |
|
14 |
14 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
17 |
17 |
$0.00 |
| 3725F |
|
26 |
23 |
$0.00 |