| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,039 |
4,718 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,564 |
8,721 |
$18K |
| 96156 |
|
1,937 |
1,922 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,315 |
1,309 |
$4K |
| 96127 |
|
1,487 |
1,370 |
$4K |
| 99497 |
|
318 |
318 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
814 |
810 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
494 |
492 |
$3K |
| 99385 |
|
189 |
189 |
$3K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
6,427 |
5,881 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,651 |
5,305 |
$371.19 |
| 99407 |
|
111 |
98 |
$368.12 |
| 90686 |
|
16 |
16 |
$354.94 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
91 |
91 |
$318.86 |
| 99386 |
|
25 |
25 |
$215.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
222 |
210 |
$155.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$134.46 |
| 99401 |
|
60 |
54 |
$77.37 |
| 99000 |
|
97 |
96 |
$75.07 |
| 3008F |
|
6,729 |
6,104 |
$58.13 |
| 88174 |
|
12 |
12 |
$16.46 |
| 81000 |
|
422 |
398 |
$15.87 |
| 36415 |
Collection of venous blood by venipuncture |
87 |
86 |
$6.00 |
| 96160 |
|
109 |
108 |
$5.93 |
| 3075F |
|
807 |
786 |
$0.00 |
| 1125F |
|
1,029 |
987 |
$0.00 |
| 1126F |
|
2,019 |
1,950 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 3074F |
|
5,537 |
5,146 |
$0.00 |
| 3079F |
|
1,357 |
1,294 |
$0.00 |
| 92551 |
|
123 |
123 |
$0.00 |
| 99406 |
|
60 |
56 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
14 |
14 |
$0.00 |
| 3080F |
|
172 |
167 |
$0.00 |
| 1170F |
|
1,753 |
1,710 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
63 |
62 |
$0.00 |
| 2000F |
|
35 |
34 |
$0.00 |
| 99058 |
|
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$0.00 |
| 1160F |
|
4,088 |
3,788 |
$0.00 |
| 1159F |
|
5,836 |
5,303 |
$0.00 |
| 3078F |
|
5,374 |
5,023 |
$0.00 |
| 3077F |
|
602 |
575 |
$0.00 |
| G0247 |
Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails |
31 |
31 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$0.00 |
| 3725F |
|
337 |
322 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
47 |
42 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$0.00 |