| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,974 |
2,340 |
$202K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,402 |
1,141 |
$137K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
461 |
461 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
303 |
302 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
226 |
226 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
216 |
216 |
$20K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
796 |
793 |
$9K |
| 93000 |
|
139 |
136 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
114 |
103 |
$2K |
| 99051 |
|
342 |
294 |
$2K |
| 3074F |
|
973 |
829 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,015 |
1,920 |
$1K |
| 3078F |
|
922 |
794 |
$1K |
| 90661 |
|
34 |
33 |
$1K |
| 90674 |
|
23 |
23 |
$705.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
52 |
$695.04 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
109 |
107 |
$587.49 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$475.69 |
| 3079F |
|
165 |
149 |
$160.00 |
| 3044F |
|
102 |
100 |
$20.00 |
| 3075F |
|
12 |
12 |
$17.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
245 |
228 |
$0.80 |
| 3077F |
|
17 |
13 |
$0.00 |
| 3725F |
|
16 |
16 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
942 |
727 |
$0.00 |
| 3511F |
|
38 |
38 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
13 |
$0.00 |
| 3008F |
|
897 |
717 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
310 |
247 |
$0.00 |
| 3048F |
|
38 |
38 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
984 |
761 |
$0.00 |
| 2010F |
|
96 |
95 |
$0.00 |
| 4037F |
|
28 |
27 |
$0.00 |
| 3011F |
|
31 |
28 |
$0.00 |