| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,546 |
1,530 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,474 |
4,312 |
$111K |
| 90961 |
|
724 |
715 |
$59K |
| 99310 |
Prolong nursin fac eval 15m |
812 |
809 |
$37K |
| 99205 |
Prolong outpt/office vis |
343 |
343 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,335 |
1,220 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
358 |
357 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
139 |
139 |
$7K |
| 90756 |
|
272 |
272 |
$6K |
| 90962 |
|
124 |
124 |
$4K |
| 99306 |
Prolong nursin fac eval 15m |
28 |
27 |
$2K |
| 96150 |
|
288 |
288 |
$2K |
| H0049 |
Alcohol and/or drug screening |
99 |
99 |
$2K |
| 99441 |
|
134 |
129 |
$2K |
| 90688 |
|
34 |
34 |
$770.93 |
| 99215 |
Prolong outpt/office vis |
30 |
30 |
$671.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
13 |
$227.49 |
| 36415 |
Collection of venous blood by venipuncture |
72 |
71 |
$194.02 |
| 3078F |
|
2,751 |
2,565 |
$161.44 |
| 3077F |
|
391 |
361 |
$86.10 |
| 3074F |
|
2,979 |
2,763 |
$52.01 |
| 3079F |
|
703 |
679 |
$28.70 |
| 3080F |
|
214 |
205 |
$3.36 |
| 96156 |
|
92 |
92 |
$0.03 |
| 1159F |
|
139 |
139 |
$0.01 |
| 3008F |
|
3,824 |
3,802 |
$0.00 |
| 1126F |
|
45 |
45 |
$0.00 |
| 3075F |
|
199 |
192 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
19 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
16 |
16 |
$0.00 |
| 1036F |
|
18 |
18 |
$0.00 |
| 1101F |
|
18 |
18 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
19 |
19 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
18 |
18 |
$0.00 |
| 1160F |
|
139 |
139 |
$0.00 |