| Code | Description | Claims | Beneficiaries | Total Paid |
| H0001 |
Alcohol and/or drug assessment |
125 |
125 |
$830.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
324 |
314 |
$651.28 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
40 |
$184.92 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
265 |
255 |
$56.00 |
| 3074F |
|
100 |
97 |
$46.00 |
| 3078F |
|
105 |
101 |
$38.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
15 |
15 |
$30.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
13 |
13 |
$25.00 |
| 3008F |
|
351 |
337 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
103 |
103 |
$0.00 |
| 2010F |
|
353 |
339 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
43 |
43 |
$0.00 |
| 1000F |
|
125 |
125 |
$0.00 |
| 3044F |
|
27 |
27 |
$0.00 |
| 1125F |
|
61 |
58 |
$0.00 |
| 3048F |
|
15 |
15 |
$0.00 |
| 3725F |
|
107 |
107 |
$0.00 |
| 3016F |
|
29 |
29 |
$0.00 |