| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,533 |
1,238 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,122 |
1,779 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
896 |
749 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
546 |
486 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,609 |
5,399 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
589 |
530 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
514 |
463 |
$647.21 |
| 90658 |
|
302 |
300 |
$575.55 |
| 36425 |
|
257 |
254 |
$500.00 |
| 81000 |
|
205 |
201 |
$385.79 |
| 92552 |
|
105 |
101 |
$368.85 |
| 90713 |
|
65 |
64 |
$261.00 |
| 90700 |
|
83 |
83 |
$252.00 |
| 92081 |
|
224 |
217 |
$213.72 |
| 86580 |
|
210 |
195 |
$198.01 |
| 97802 |
|
1,369 |
1,260 |
$137.23 |
| 85014 |
|
221 |
217 |
$116.81 |
| 90670 |
|
25 |
25 |
$90.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$76.31 |
| 99386 |
|
101 |
77 |
$68.40 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
62 |
$68.40 |
| 90649 |
|
18 |
18 |
$54.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
618 |
543 |
$53.37 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
804 |
786 |
$51.03 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,306 |
1,192 |
$50.00 |
| 92551 |
|
193 |
192 |
$43.91 |
| 99397 |
|
96 |
74 |
$37.50 |
| 90734 |
|
13 |
13 |
$36.00 |
| 99173 |
|
62 |
62 |
$34.91 |
| 99385 |
|
139 |
113 |
$33.27 |
| 3074F |
|
515 |
451 |
$32.89 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
26 |
$32.20 |
| 99383 |
|
18 |
16 |
$18.00 |
| 90648 |
|
13 |
13 |
$18.00 |
| 1160F |
|
2,774 |
2,390 |
$16.91 |
| 3014F |
|
46 |
46 |
$0.00 |
| 1170F |
|
163 |
163 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
316 |
312 |
$0.00 |
| 1220F |
|
75 |
75 |
$0.00 |
| 96127 |
|
835 |
830 |
$0.00 |
| 3008F |
|
2,289 |
2,070 |
$0.00 |
| 1036F |
|
392 |
388 |
$0.00 |
| 3049F |
|
14 |
13 |
$0.00 |
| 1125F |
|
37 |
37 |
$0.00 |
| 1111F |
|
64 |
63 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |
| 1126F |
|
76 |
76 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
49 |
49 |
$0.00 |
| 4245F |
|
32 |
32 |
$0.00 |
| 0509F |
|
43 |
43 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
45 |
42 |
$0.00 |
| 85013 |
|
14 |
14 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
22 |
21 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
51 |
51 |
$0.00 |
| 1101F |
|
41 |
40 |
$0.00 |
| 1157F |
|
63 |
62 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| 96156 |
|
35 |
35 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
27 |
27 |
$0.00 |
| 99443 |
|
44 |
40 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| 1159F |
|
2,780 |
2,386 |
$0.00 |
| 3078F |
|
474 |
438 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
94 |
94 |
$0.00 |
| 4040F |
|
46 |
46 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
49 |
49 |
$0.00 |
| 3046F |
|
18 |
18 |
$0.00 |
| 1124F |
|
37 |
37 |
$0.00 |
| 1090F |
|
71 |
71 |
$0.00 |
| 1003F |
|
23 |
23 |
$0.00 |
| 4013F |
|
103 |
96 |
$0.00 |
| 0521F |
|
97 |
96 |
$0.00 |
| 1158F |
|
63 |
62 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
15 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
54 |
51 |
$0.00 |
| 3077F |
|
15 |
14 |
$0.00 |
| 4035F |
|
14 |
14 |
$0.00 |
| 0518F |
|
13 |
13 |
$0.00 |