| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
316 |
275 |
$352.28 |
| 36415 |
Collection of venous blood by venipuncture |
219 |
182 |
$1.71 |
| 3011F |
|
68 |
66 |
$0.00 |
| 2001F |
|
237 |
210 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
54 |
54 |
$0.00 |
| 1036F |
|
17 |
17 |
$0.00 |
| 2000F |
|
237 |
210 |
$0.00 |
| 2010F |
|
237 |
210 |
$0.00 |
| 3008F |
|
111 |
101 |
$0.00 |
| 97802 |
|
54 |
54 |
$0.00 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
41 |
40 |
$0.00 |
| 94760 |
|
54 |
54 |
$0.00 |
| 3074F |
|
117 |
108 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
54 |
54 |
$0.00 |
| 4293F |
|
18 |
18 |
$0.00 |
| 3044F |
|
40 |
40 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 1000F |
|
18 |
18 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
24 |
24 |
$0.00 |
| 3078F |
|
140 |
128 |
$0.00 |
| 1159F |
|
288 |
249 |
$0.00 |
| 2028F |
|
18 |
18 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
17 |
$0.00 |
| 99072 |
|
159 |
140 |
$0.00 |
| 1160F |
|
288 |
249 |
$0.00 |
| G9383 |
Patient received screening for hcv infection within the 12 month reporting period |
47 |
46 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
51 |
51 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
13 |
13 |
$0.00 |
| 3016F |
|
18 |
18 |
$0.00 |
| 3725F |
|
18 |
18 |
$0.00 |