| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92552 |
|
979 |
979 |
$8K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,442 |
1,394 |
$3K |
| 90656 |
|
129 |
129 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
305 |
305 |
$2K |
| 93000 |
|
73 |
70 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,986 |
6,601 |
$422.23 |
| 99205 |
Prolong outpt/office vis |
91 |
90 |
$89.33 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
512 |
508 |
$74.42 |
| 90686 |
|
12 |
12 |
$72.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
55 |
$71.68 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
922 |
875 |
$24.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
251 |
239 |
$18.56 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,328 |
1,295 |
$16.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
178 |
178 |
$14.88 |
| 81002 |
|
193 |
191 |
$2.13 |
| H0049 |
Alcohol and/or drug screening |
2,768 |
2,608 |
$2.00 |
| 99408 |
|
386 |
370 |
$0.00 |
| 99173 |
|
928 |
927 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
174 |
172 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
46 |
46 |
$0.00 |
| 3077F |
|
457 |
430 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
239 |
239 |
$0.00 |
| 3078F |
|
2,520 |
2,441 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
514 |
512 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
649 |
616 |
$0.00 |
| 3050F |
|
275 |
275 |
$0.00 |
| 4004F |
|
803 |
739 |
$0.00 |
| 1124F |
|
214 |
214 |
$0.00 |
| 96160 |
|
1,010 |
999 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
83 |
81 |
$0.00 |
| 81003 |
|
60 |
60 |
$0.00 |
| 98968 |
|
543 |
509 |
$0.00 |
| G9920 |
Screening performed and negative |
1,860 |
1,843 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
85 |
85 |
$0.00 |
| 1158F |
|
243 |
243 |
$0.00 |
| 3725F |
|
49 |
49 |
$0.00 |
| 98966 |
|
230 |
221 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
34 |
$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 |
17 |
17 |
$0.00 |
| 98960 |
|
318 |
299 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
29 |
$0.00 |
| 3074F |
|
2,815 |
2,729 |
$0.00 |
| 3017F |
|
245 |
237 |
$0.00 |
| 3079F |
|
1,247 |
1,197 |
$0.00 |
| 1031F |
|
371 |
365 |
$0.00 |
| 3049F |
|
435 |
435 |
$0.00 |
| 3075F |
|
601 |
590 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
619 |
599 |
$0.00 |
| 88141 |
|
13 |
13 |
$0.00 |
| 3048F |
|
373 |
373 |
$0.00 |
| 3014F |
|
131 |
131 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,066 |
2,028 |
$0.00 |
| 1125F |
|
326 |
324 |
$0.00 |
| 97802 |
|
1,698 |
1,627 |
$0.00 |
| 3008F |
|
4,607 |
4,405 |
$0.00 |
| 99386 |
|
120 |
119 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
371 |
363 |
$0.00 |
| 81000 |
|
42 |
42 |
$0.00 |
| 1036F |
|
2,404 |
2,277 |
$0.00 |
| 1111F |
|
117 |
116 |
$0.00 |
| 1000F |
|
469 |
452 |
$0.00 |
| 99385 |
|
281 |
280 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,359 |
1,292 |
$0.00 |
| 3080F |
|
100 |
92 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
44 |
44 |
$0.00 |
| 3044F |
|
447 |
447 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
48 |
48 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
14 |
$0.00 |
| 82962 |
|
38 |
37 |
$0.00 |
| 1123F |
|
35 |
35 |
$0.00 |
| 3011F |
|
21 |
21 |
$0.00 |
| 1126F |
|
50 |
50 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
81 |
81 |
$0.00 |
| 94760 |
|
14 |
13 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
15 |
$0.00 |