| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,621 |
2,036 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
856 |
649 |
$26K |
| 99386 |
|
381 |
347 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
408 |
359 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
273 |
250 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
256 |
238 |
$7K |
| 99385 |
|
146 |
139 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
120 |
115 |
$5K |
| 90756 |
|
119 |
103 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
144 |
126 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
55 |
53 |
$609.26 |
| 36415 |
Collection of venous blood by venipuncture |
372 |
330 |
$586.27 |
| 90674 |
|
17 |
16 |
$351.06 |
| H0049 |
Alcohol and/or drug screening |
857 |
788 |
$8.00 |
| 99000 |
|
343 |
305 |
$2.38 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
341 |
242 |
$0.00 |
| 3008F |
|
2,004 |
1,524 |
$0.00 |
| 3074F |
|
458 |
415 |
$0.00 |
| 1000F |
|
899 |
826 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
384 |
378 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
17 |
17 |
$0.00 |
| 1126F |
|
24 |
24 |
$0.00 |
| 1036F |
|
18 |
18 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
12 |
12 |
$0.00 |
| 3078F |
|
453 |
408 |
$0.00 |
| 3725F |
|
1,010 |
924 |
$0.00 |
| 1160F |
|
51 |
47 |
$0.00 |
| 1159F |
|
85 |
77 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
152 |
149 |
$0.00 |
| 1175F |
|
26 |
25 |
$0.00 |
| 1158F |
|
13 |
12 |
$0.00 |
| 3288F |
|
13 |
13 |
$0.00 |