| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,561 |
11,623 |
$553K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
6,022 |
5,921 |
$105K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
20,129 |
17,439 |
$76K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,866 |
2,856 |
$62K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,948 |
2,919 |
$60K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
11,554 |
11,367 |
$38K |
| 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 |
10,046 |
9,896 |
$34K |
| 99401 |
|
8,976 |
8,836 |
$14K |
| 90658 |
|
773 |
772 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,007 |
1,997 |
$7K |
| 90688 |
|
436 |
436 |
$6K |
| 3074F |
|
4,786 |
4,484 |
$5K |
| 3078F |
|
4,766 |
4,466 |
$5K |
| 90756 |
|
350 |
350 |
$4K |
| 99408 |
|
7,435 |
7,321 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,671 |
3,403 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
6,313 |
6,013 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,276 |
1,259 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
7,152 |
7,039 |
$2K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
7,952 |
7,651 |
$2K |
| 99442 |
|
325 |
286 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
298 |
281 |
$887.89 |
| 90656 |
|
210 |
210 |
$665.88 |
| 82270 |
|
1,081 |
1,062 |
$525.86 |
| 99443 |
|
14 |
12 |
$481.05 |
| 0064A |
|
12 |
12 |
$438.48 |
| 96127 |
|
7,740 |
7,623 |
$362.53 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
3,368 |
3,326 |
$326.08 |
| H0049 |
Alcohol and/or drug screening |
5,488 |
5,400 |
$294.84 |
| 36415 |
Collection of venous blood by venipuncture |
570 |
559 |
$244.59 |
| 97802 |
|
2,561 |
2,508 |
$189.60 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
7,293 |
7,031 |
$168.00 |
| 3044F |
|
1,101 |
1,071 |
$120.00 |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
166 |
165 |
$110.82 |
| 3051F |
|
246 |
231 |
$40.00 |
| 36410 |
|
24 |
24 |
$33.98 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,563 |
2,501 |
$10.50 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
1,193 |
1,157 |
$6.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
17,087 |
14,862 |
$4.00 |
| 3008F |
|
8,620 |
8,254 |
$1.30 |
| 91306 |
|
12 |
12 |
$0.06 |
| 3014F |
|
1,912 |
1,881 |
$0.00 |
| 3061F |
|
2,606 |
2,467 |
$0.00 |
| 3017F |
|
853 |
850 |
$0.00 |
| 1000F |
|
12,967 |
11,555 |
$0.00 |
| 4293F |
|
1,664 |
1,631 |
$0.00 |
| 1036F |
|
11,916 |
10,712 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
13 |
13 |
$0.00 |
| 3052F |
|
13 |
13 |
$0.00 |
| 1101F |
|
44 |
41 |
$0.00 |
| 4010F |
|
14 |
13 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
15 |
14 |
$0.00 |
| 3016F |
|
4,948 |
4,829 |
$0.00 |
| 3725F |
|
14,533 |
12,873 |
$0.00 |
| 99499 |
|
173 |
160 |
$0.00 |
| 3045F |
|
813 |
766 |
$0.00 |
| 3015F |
|
2,461 |
2,425 |
$0.00 |
| 3085F |
|
1,660 |
1,627 |
$0.00 |
| 3046F |
|
298 |
285 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
26 |
26 |
$0.00 |
| 1100F |
|
44 |
41 |
$0.00 |
| 4013F |
|
125 |
124 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
12 |
12 |
$0.00 |
| 3288F |
|
44 |
41 |
$0.00 |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
15 |
15 |
$0.00 |