| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,887 |
4,515 |
$64K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
487 |
366 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
366 |
286 |
$11K |
| 99385 |
|
123 |
113 |
$3K |
| 99397 |
|
33 |
31 |
$2K |
| 97802 |
|
1,893 |
1,141 |
$2K |
| 99386 |
|
40 |
40 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
121 |
52 |
$1K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
908 |
589 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$923.55 |
| 1159F |
|
6,821 |
4,351 |
$163.93 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
54 |
$65.00 |
| 3008F |
|
6,335 |
3,968 |
$64.61 |
| 3074F |
|
4,231 |
2,855 |
$50.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,584 |
1,058 |
$49.43 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,234 |
1,563 |
$30.54 |
| 0521F |
|
6,080 |
3,846 |
$25.22 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
295 |
224 |
$25.22 |
| 3078F |
|
3,414 |
2,315 |
$12.61 |
| 1125F |
|
2,048 |
1,333 |
$12.61 |
| 1126F |
|
5,031 |
3,261 |
$12.61 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,429 |
832 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
731 |
436 |
$0.00 |
| 1158F |
|
854 |
585 |
$0.00 |
| 1160F |
|
6,572 |
4,234 |
$0.00 |
| 3725F |
|
639 |
415 |
$0.00 |
| 4013F |
|
129 |
111 |
$0.00 |
| 3077F |
|
50 |
25 |
$0.00 |
| 3288F |
|
32 |
25 |
$0.00 |
| 4004F |
|
15 |
15 |
$0.00 |
| 1157F |
|
935 |
660 |
$0.00 |
| 2000F |
|
744 |
528 |
$0.00 |
| 1220F |
|
578 |
373 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,607 |
980 |
$0.00 |
| 1036F |
|
689 |
435 |
$0.00 |
| 2001F |
|
2,672 |
1,675 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
66 |
44 |
$0.00 |
| 3044F |
|
130 |
97 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,410 |
826 |
$0.00 |
| 3061F |
|
107 |
71 |
$0.00 |
| 3079F |
|
556 |
336 |
$0.00 |
| 1101F |
|
48 |
30 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
478 |
276 |
$0.00 |
| 4010F |
|
382 |
251 |
$0.00 |
| 1170F |
|
51 |
31 |
$0.00 |
| 3080F |
|
28 |
14 |
$0.00 |
| 3049F |
|
14 |
12 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
16 |
16 |
$0.00 |