| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,310 |
1,098 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
553 |
470 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
33 |
31 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
25 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
298 |
288 |
$614.94 |
| 36415 |
Collection of venous blood by venipuncture |
495 |
451 |
$456.90 |
| 90686 |
|
33 |
32 |
$251.58 |
| 3074F |
|
1,200 |
1,047 |
$206.32 |
| 87428 |
|
19 |
17 |
$79.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
36 |
$70.00 |
| 1126F |
|
926 |
482 |
$49.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$24.26 |
| 96160 |
|
651 |
562 |
$2.66 |
| 1036F |
|
1,652 |
1,205 |
$0.00 |
| 1125F |
|
316 |
284 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
202 |
138 |
$0.00 |
| 3075F |
|
259 |
181 |
$0.00 |
| 3079F |
|
788 |
587 |
$0.00 |
| 1034F |
|
236 |
206 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
476 |
413 |
$0.00 |
| 3080F |
|
119 |
80 |
$0.00 |
| 4000F |
|
127 |
113 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 1160F |
|
1,124 |
827 |
$0.00 |
| 1159F |
|
1,142 |
835 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,623 |
1,211 |
$0.00 |
| 3078F |
|
939 |
766 |
$0.00 |
| 3077F |
|
204 |
139 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
94 |
85 |
$0.00 |
| 2028F |
|
32 |
28 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
20 |
12 |
$0.00 |