| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99441 |
|
188 |
184 |
$6K |
| 93000 |
|
329 |
328 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,469 |
1,462 |
$2K |
| 87110 |
|
98 |
97 |
$1K |
| 99401 |
|
763 |
760 |
$456.62 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
104 |
104 |
$274.71 |
| 3074F |
|
866 |
863 |
$152.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$116.86 |
| 3078F |
|
844 |
842 |
$110.00 |
| 3079F |
|
572 |
571 |
$67.50 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
313 |
312 |
$58.26 |
| 1159F |
|
318 |
276 |
$35.00 |
| 1160F |
|
229 |
223 |
$20.00 |
| 1125F |
|
832 |
826 |
$10.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
601 |
601 |
$6.00 |
| 96127 |
|
67 |
67 |
$5.16 |
| 1126F |
|
722 |
722 |
$5.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,273 |
1,211 |
$1.75 |
| 4013F |
|
949 |
940 |
$0.00 |
| 3725F |
|
594 |
594 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
1,021 |
974 |
$0.00 |
| 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 |
52 |
52 |
$0.00 |
| 3077F |
|
174 |
173 |
$0.00 |
| 3288F |
|
50 |
50 |
$0.00 |
| 0521F |
|
38 |
38 |
$0.00 |
| 3095F |
|
12 |
12 |
$0.00 |
| 3075F |
|
361 |
359 |
$0.00 |
| 1000F |
|
625 |
625 |
$0.00 |
| 99000 |
|
1,267 |
1,201 |
$0.00 |
| 4008F |
|
322 |
318 |
$0.00 |
| 4010F |
|
716 |
708 |
$0.00 |
| 3008F |
|
1,368 |
1,361 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
574 |
574 |
$0.00 |
| A4930 |
Gloves, sterile, per pair |
1,041 |
990 |
$0.00 |
| 1036F |
|
594 |
594 |
$0.00 |
| 3080F |
|
31 |
30 |
$0.00 |
| 1170F |
|
66 |
66 |
$0.00 |
| 3048F |
|
39 |
39 |
$0.00 |
| 3014F |
|
39 |
39 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
40 |
39 |
$0.00 |
| 3044F |
|
24 |
24 |
$0.00 |
| 99429 |
|
15 |
14 |
$0.00 |