| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,608 |
5,483 |
$514K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,196 |
3,900 |
$479K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,196 |
1,195 |
$153K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
717 |
714 |
$86K |
| 99401 |
|
4,232 |
3,881 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
841 |
801 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,812 |
1,774 |
$29K |
| 90686 |
|
1,390 |
1,390 |
$26K |
| 94010 |
|
795 |
784 |
$25K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,822 |
2,775 |
$18K |
| 99497 |
|
322 |
321 |
$18K |
| 92551 |
|
1,858 |
1,855 |
$18K |
| 93040 |
|
1,313 |
1,293 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
488 |
485 |
$11K |
| 94016 |
|
786 |
778 |
$11K |
| 99051 |
|
1,831 |
1,641 |
$9K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
992 |
989 |
$8K |
| H0049 |
Alcohol and/or drug screening |
1,449 |
1,425 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
345 |
179 |
$4K |
| 99457 |
|
213 |
213 |
$4K |
| 99406 |
|
639 |
608 |
$3K |
| 99173 |
|
1,882 |
1,879 |
$3K |
| 86580 |
|
439 |
430 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
213 |
212 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
123 |
121 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,514 |
2,472 |
$2K |
| 97802 |
|
1,583 |
1,557 |
$2K |
| 96127 |
|
720 |
720 |
$2K |
| 99441 |
|
101 |
87 |
$2K |
| 3074F |
|
891 |
789 |
$1K |
| 3078F |
|
825 |
734 |
$1K |
| 92552 |
|
49 |
49 |
$1K |
| 36410 |
|
174 |
171 |
$1K |
| 90682 |
|
20 |
20 |
$968.62 |
| H0001 |
Alcohol and/or drug assessment |
207 |
207 |
$830.21 |
| S9451 |
Exercise classes, non-physician provider, per session |
383 |
381 |
$744.00 |
| 99458 |
|
17 |
17 |
$665.55 |
| 99407 |
|
73 |
71 |
$537.36 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
27 |
27 |
$531.14 |
| 90750 |
|
16 |
16 |
$502.18 |
| 99453 |
|
57 |
57 |
$411.04 |
| 90715 |
|
12 |
12 |
$368.61 |
| 3079F |
|
171 |
157 |
$357.60 |
| 3075F |
|
106 |
100 |
$253.50 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
875 |
865 |
$204.00 |
| 3077F |
|
44 |
41 |
$150.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,349 |
1,338 |
$140.00 |
| 97803 |
|
226 |
224 |
$102.03 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
131 |
131 |
$72.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
239 |
238 |
$64.00 |
| 3080F |
|
31 |
27 |
$60.00 |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
13 |
13 |
$28.75 |
| 3044F |
|
13 |
13 |
$20.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
565 |
512 |
$16.00 |
| G9276 |
Documentation that patient is a current tobacco user |
339 |
321 |
$16.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
589 |
541 |
$16.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
21 |
21 |
$8.00 |
| 3008F |
|
829 |
809 |
$0.58 |
| 99072 |
|
58 |
50 |
$0.00 |
| 3016F |
|
69 |
67 |
$0.00 |
| 99408 |
|
37 |
37 |
$0.00 |
| 3725F |
|
672 |
661 |
$0.00 |
| 1032F |
|
249 |
247 |
$0.00 |
| 4004F |
|
46 |
46 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| 1034F |
|
46 |
46 |
$0.00 |
| 1036F |
|
322 |
321 |
$0.00 |
| 1000F |
|
491 |
484 |
$0.00 |
| 3351F |
|
152 |
152 |
$0.00 |
| 4037F |
|
48 |
48 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
14 |
14 |
$0.00 |