| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$312.78 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$133.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$88.94 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$70.76 |
| 99401 |
|
83 |
83 |
$34.33 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
17 |
$9.59 |
| 3016F |
|
70 |
70 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
88 |
86 |
$0.00 |
| 81002 |
|
83 |
83 |
$0.00 |
| 1160F |
|
75 |
75 |
$0.00 |
| 1159F |
|
75 |
75 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
121 |
119 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
70 |
70 |
$0.00 |
| 3078F |
|
83 |
81 |
$0.00 |
| 3725F |
|
108 |
106 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
64 |
64 |
$0.00 |
| 1036F |
|
68 |
68 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
87 |
85 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
82 |
82 |
$0.00 |
| 82962 |
|
33 |
33 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
61 |
59 |
$0.00 |
| 3008F |
|
128 |
126 |
$0.00 |
| 1220F |
|
108 |
106 |
$0.00 |
| 1000F |
|
70 |
70 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
109 |
107 |
$0.00 |
| 2010F |
|
125 |
123 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
45 |
45 |
$0.00 |
| 96127 |
|
108 |
106 |
$0.00 |
| 3351F |
|
77 |
77 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
70 |
70 |
$0.00 |
| 3074F |
|
70 |
68 |
$0.00 |
| 3754F |
|
12 |
12 |
$0.00 |