| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
9,923 |
9,847 |
$28K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
539 |
524 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,145 |
14,674 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,957 |
4,891 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,655 |
2,631 |
$4K |
| 92551 |
|
2,755 |
2,699 |
$4K |
| 93000 |
|
1,144 |
936 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
658 |
656 |
$2K |
| 99385 |
|
774 |
773 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,790 |
1,767 |
$1K |
| 97802 |
|
725 |
721 |
$844.41 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,113 |
6,072 |
$750.24 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
4,073 |
4,047 |
$656.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,372 |
1,338 |
$558.81 |
| 99386 |
|
347 |
347 |
$524.01 |
| G9919 |
Screening performed and positive and provision of recommendations |
5,403 |
5,236 |
$480.57 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,833 |
2,676 |
$468.28 |
| 99383 |
|
104 |
104 |
$453.55 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,273 |
1,265 |
$442.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
850 |
848 |
$385.39 |
| 94760 |
|
8,191 |
7,494 |
$359.24 |
| G9920 |
Screening performed and negative |
5,844 |
5,761 |
$307.48 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,332 |
3,304 |
$264.44 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
408 |
408 |
$182.77 |
| 97803 |
|
132 |
132 |
$180.95 |
| 90734 |
|
55 |
55 |
$158.03 |
| 96160 |
|
5,204 |
4,697 |
$133.66 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
255 |
254 |
$90.37 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
475 |
475 |
$86.82 |
| 99384 |
|
44 |
44 |
$65.12 |
| 90686 |
|
260 |
246 |
$50.35 |
| 99406 |
|
276 |
275 |
$38.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,316 |
1,228 |
$33.68 |
| 98968 |
|
71 |
71 |
$29.28 |
| 3074F |
|
20,043 |
19,134 |
$3.00 |
| 99173 |
|
2,262 |
2,208 |
$2.50 |
| 3075F |
|
4,226 |
4,141 |
$1.00 |
| 3077F |
|
2,953 |
2,810 |
$1.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,037 |
1,037 |
$0.93 |
| 1126F |
|
19,506 |
18,830 |
$0.70 |
| 1159F |
|
22,502 |
21,523 |
$0.30 |
| 1160F |
|
27,501 |
26,217 |
$0.30 |
| 3079F |
|
8,133 |
7,903 |
$0.00 |
| 1125F |
|
8,305 |
8,050 |
$0.00 |
| 3044F |
|
2,833 |
2,714 |
$0.00 |
| 3351F |
|
1,956 |
1,937 |
$0.00 |
| 3008F |
|
11,516 |
11,185 |
$0.00 |
| 1036F |
|
6,763 |
6,712 |
$0.00 |
| 3080F |
|
2,150 |
2,054 |
$0.00 |
| 1111F |
|
1,237 |
1,225 |
$0.00 |
| 90651 |
|
230 |
230 |
$0.00 |
| 3353F |
|
658 |
657 |
$0.00 |
| 1220F |
|
33 |
33 |
$0.00 |
| 96161 |
|
928 |
892 |
$0.00 |
| A9270 |
Non-covered item or service |
2,442 |
2,266 |
$0.00 |
| 0545F |
|
297 |
297 |
$0.00 |
| 3354F |
|
112 |
110 |
$0.00 |
| 99172 |
|
176 |
175 |
$0.00 |
| 1170F |
|
55 |
55 |
$0.00 |
| 3052F |
|
30 |
29 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 88142 |
|
23 |
23 |
$0.00 |
| 99442 |
|
41 |
41 |
$0.00 |
| 99499 |
|
3,706 |
3,653 |
$0.00 |
| 3045F |
|
88 |
82 |
$0.00 |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
73 |
42 |
$0.00 |
| 0521F |
|
9,407 |
9,128 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
611 |
602 |
$0.00 |
| 3078F |
|
17,134 |
16,410 |
$0.00 |
| 4004F |
|
1,195 |
1,188 |
$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 |
221 |
221 |
$0.00 |
| 3051F |
|
284 |
264 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
520 |
443 |
$0.00 |
| 1090F |
|
38 |
38 |
$0.00 |
| 90461 |
|
200 |
199 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
212 |
210 |
$0.00 |
| 3046F |
|
146 |
139 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$0.00 |
| 90621 |
|
52 |
52 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90649 |
|
28 |
28 |
$0.00 |
| 90670 |
|
26 |
26 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$0.00 |
| 0518F |
|
39 |
39 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$0.00 |
| 3725F |
|
14 |
14 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |