| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,691 |
4,525 |
$399K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,125 |
2,832 |
$314K |
| S9470 |
Nutritional counseling, dietitian visit |
537 |
441 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
90 |
87 |
$10K |
| 99401 |
|
637 |
578 |
$7K |
| 93000 |
|
356 |
355 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,803 |
2,679 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
342 |
336 |
$4K |
| 90756 |
|
151 |
150 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
31 |
$2K |
| 90674 |
|
53 |
51 |
$1K |
| 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 |
48 |
44 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
142 |
134 |
$960.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
95 |
90 |
$805.28 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
31 |
25 |
$661.29 |
| 90688 |
|
33 |
33 |
$599.50 |
| 90653 |
|
12 |
12 |
$505.99 |
| 90658 |
|
30 |
30 |
$434.01 |
| 90686 |
|
12 |
12 |
$249.15 |
| 83721 |
|
32 |
31 |
$235.20 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
12 |
12 |
$93.88 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
423 |
401 |
$2.72 |
| 3078F |
|
725 |
610 |
$0.01 |
| G9275 |
Documentation that patient is a current non-tobacco user |
213 |
208 |
$0.00 |
| 3074F |
|
907 |
773 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
329 |
283 |
$0.00 |
| 1036F |
|
193 |
185 |
$0.00 |
| 4037F |
|
45 |
45 |
$0.00 |
| 3079F |
|
172 |
153 |
$0.00 |
| 3044F |
|
43 |
39 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
25 |
24 |
$0.00 |
| 3008F |
|
28 |
27 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| 3725F |
|
127 |
115 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,096 |
1,793 |
$0.00 |
| 1159F |
|
187 |
162 |
$0.00 |
| 2028F |
|
182 |
170 |
$0.00 |
| 3077F |
|
14 |
12 |
$0.00 |
| 3050F |
|
12 |
12 |
$0.00 |
| 99499 |
|
20 |
12 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |