| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
288 |
281 |
$599.72 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
159 |
157 |
$569.84 |
| 3008F |
|
346 |
346 |
$207.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
169 |
169 |
$199.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
170 |
161 |
$89.60 |
| 90688 |
|
16 |
16 |
$45.46 |
| 1159F |
|
272 |
259 |
$33.60 |
| 1160F |
|
199 |
193 |
$31.50 |
| H0049 |
Alcohol and/or drug screening |
287 |
287 |
$30.00 |
| 3074F |
|
120 |
117 |
$20.00 |
| 3078F |
|
98 |
96 |
$20.00 |
| 81000 |
|
141 |
141 |
$13.00 |
| 97802 |
|
244 |
243 |
$11.00 |
| 83704 |
|
309 |
308 |
$11.00 |
| 1125F |
|
158 |
157 |
$2.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$1.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
142 |
140 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
39 |
39 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
91 |
91 |
$0.00 |
| 1170F |
|
136 |
136 |
$0.00 |
| 1157F |
|
137 |
137 |
$0.00 |
| 82270 |
|
12 |
12 |
$0.00 |
| 1126F |
|
25 |
25 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
93 |
93 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
105 |
105 |
$0.00 |
| 3725F |
|
114 |
114 |
$0.00 |
| 3288F |
|
138 |
138 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
56 |
56 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
131 |
130 |
$0.00 |
| 90863 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
14 |
$0.00 |