| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,360 |
5,325 |
$37K |
| 93000 |
|
764 |
762 |
$8K |
| 87110 |
|
462 |
462 |
$3K |
| 99401 |
|
1,368 |
1,363 |
$2K |
| 99441 |
|
534 |
527 |
$2K |
| 3074F |
|
1,653 |
1,642 |
$2K |
| 3078F |
|
1,386 |
1,378 |
$2K |
| 3079F |
|
880 |
878 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
300 |
300 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,763 |
3,592 |
$555.96 |
| 96127 |
|
631 |
630 |
$485.22 |
| 1159F |
|
2,423 |
2,165 |
$435.00 |
| 3077F |
|
168 |
168 |
$387.50 |
| 3075F |
|
304 |
304 |
$382.50 |
| 90756 |
|
50 |
50 |
$288.45 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$258.37 |
| 1125F |
|
1,233 |
1,222 |
$250.00 |
| 1160F |
|
1,959 |
1,864 |
$207.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
29 |
$204.93 |
| 1126F |
|
901 |
897 |
$180.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
602 |
600 |
$143.24 |
| H0001 |
Alcohol and/or drug assessment |
867 |
867 |
$130.14 |
| A4930 |
Gloves, sterile, per pair |
3,147 |
2,995 |
$62.84 |
| 99000 |
|
3,123 |
2,975 |
$34.73 |
| 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 |
17 |
17 |
$14.00 |
| 3048F |
|
115 |
115 |
$10.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,041 |
1,041 |
$7.02 |
| 1170F |
|
112 |
110 |
$5.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
965 |
965 |
$0.52 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
3,194 |
3,044 |
$0.26 |
| 4010F |
|
633 |
557 |
$0.08 |
| 3008F |
|
1,198 |
1,190 |
$0.04 |
| 0521F |
|
954 |
948 |
$0.04 |
| 4008F |
|
183 |
160 |
$0.00 |
| 1000F |
|
677 |
676 |
$0.00 |
| 3049F |
|
26 |
26 |
$0.00 |
| 1036F |
|
715 |
715 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
96 |
96 |
$0.00 |
| 3014F |
|
14 |
14 |
$0.00 |
| 3725F |
|
733 |
731 |
$0.00 |
| 4013F |
|
835 |
742 |
$0.00 |
| 3016F |
|
26 |
26 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
35 |
35 |
$0.00 |