| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,816 |
5,076 |
$562K |
| 99442 |
|
599 |
554 |
$65K |
| 86328 |
|
351 |
320 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
302 |
292 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
632 |
629 |
$15K |
| 99215 |
Prolong outpt/office vis |
114 |
112 |
$14K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
522 |
518 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
487 |
475 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
54 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
58 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
240 |
236 |
$6K |
| 81002 |
|
2,325 |
2,174 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
179 |
178 |
$4K |
| 87276 |
|
177 |
173 |
$3K |
| 90656 |
|
160 |
160 |
$3K |
| 90461 |
|
53 |
53 |
$2K |
| 87275 |
|
177 |
173 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
122 |
122 |
$2K |
| 81025 |
|
205 |
195 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$2K |
| 85014 |
|
445 |
443 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
52 |
$999.31 |
| 36415 |
Collection of venous blood by venipuncture |
192 |
187 |
$640.00 |
| 90756 |
|
21 |
20 |
$520.48 |
| 90674 |
|
12 |
12 |
$341.04 |
| 93000 |
|
12 |
12 |
$185.19 |
| 85018 |
|
29 |
29 |
$88.88 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
5,961 |
4,675 |
$35.42 |
| 3008F |
|
5,914 |
4,747 |
$35.02 |
| 3725F |
|
502 |
494 |
$35.00 |
| 90686 |
|
210 |
210 |
$2.10 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
212 |
192 |
$0.74 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
153 |
141 |
$0.52 |
| 90651 |
|
25 |
25 |
$0.25 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
33 |
28 |
$0.15 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
13 |
$0.03 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
35 |
27 |
$0.03 |
| 3079F |
|
351 |
325 |
$0.01 |
| 3075F |
|
40 |
39 |
$0.01 |
| 3078F |
|
1,429 |
1,259 |
$0.00 |
| 3074F |
|
1,725 |
1,498 |
$0.00 |
| 3080F |
|
14 |
14 |
$0.00 |