| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
960 |
905 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
275 |
275 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
285 |
284 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$858.40 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
41 |
40 |
$779.23 |
| 99051 |
|
247 |
242 |
$713.30 |
| 99441 |
|
40 |
39 |
$595.90 |
| 36415 |
Collection of venous blood by venipuncture |
1,314 |
1,278 |
$170.91 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
218 |
218 |
$128.18 |
| G9275 |
Documentation that patient is a current non-tobacco user |
305 |
305 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
362 |
362 |
$0.00 |
| 3008F |
|
111 |
108 |
$0.00 |
| 1036F |
|
37 |
37 |
$0.00 |
| 1000F |
|
66 |
66 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
27 |
27 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
34 |
34 |
$0.00 |