| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99497 |
|
3,211 |
3,188 |
$202K |
| 99334 |
|
583 |
578 |
$11K |
| 93000 |
|
322 |
317 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,296 |
3,198 |
$3K |
| 88141 |
|
16 |
13 |
$800.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
40 |
38 |
$620.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,529 |
1,495 |
$595.15 |
| 96156 |
|
150 |
149 |
$534.60 |
| 97802 |
|
1,831 |
1,808 |
$495.00 |
| 90658 |
|
28 |
28 |
$432.25 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,057 |
1,036 |
$369.03 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,231 |
1,220 |
$356.60 |
| G9920 |
Screening performed and negative |
2,266 |
2,245 |
$186.61 |
| 90686 |
|
13 |
13 |
$171.36 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$134.11 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
85 |
84 |
$108.66 |
| 99406 |
|
22 |
22 |
$92.79 |
| 92015 |
Determination of refractive state |
359 |
356 |
$87.20 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
103 |
99 |
$60.81 |
| 92560 |
|
274 |
271 |
$48.57 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,202 |
2,150 |
$32.83 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,499 |
1,476 |
$19.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
150 |
113 |
$14.58 |
| 96160 |
|
1,103 |
1,096 |
$3.92 |
| 3078F |
|
3,364 |
3,267 |
$0.00 |
| 1160F |
|
663 |
653 |
$0.00 |
| 82274 |
|
41 |
39 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
153 |
151 |
$0.00 |
| 3077F |
|
825 |
797 |
$0.00 |
| 1159F |
|
1,106 |
1,076 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
126 |
126 |
$0.00 |
| 3045F |
|
15 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
43 |
43 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
26 |
25 |
$0.00 |
| 81002 |
|
14 |
14 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
24 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
16 |
16 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 3074F |
|
3,577 |
3,488 |
$0.00 |
| 3079F |
|
1,535 |
1,514 |
$0.00 |
| 3008F |
|
2,491 |
2,462 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,521 |
1,514 |
$0.00 |
| 1125F |
|
85 |
85 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
748 |
735 |
$0.00 |
| 3075F |
|
864 |
849 |
$0.00 |
| 1000F |
|
1,004 |
990 |
$0.00 |
| 3080F |
|
290 |
278 |
$0.00 |
| 1170F |
|
94 |
94 |
$0.00 |
| 1111F |
|
342 |
331 |
$0.00 |
| 3048F |
|
177 |
168 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
210 |
210 |
$0.00 |
| 1126F |
|
63 |
63 |
$0.00 |
| 1036F |
|
124 |
123 |
$0.00 |
| 3044F |
|
26 |
25 |
$0.00 |
| 82044 |
|
37 |
37 |
$0.00 |
| 3017F |
|
13 |
13 |
$0.00 |