| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,367 |
2,154 |
$44K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
331 |
327 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
845 |
803 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
101 |
100 |
$8K |
| H0001 |
Alcohol and/or drug assessment |
2,065 |
1,854 |
$3K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
302 |
296 |
$3K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
161 |
153 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
305 |
299 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
288 |
266 |
$846.90 |
| 3074F |
|
1,018 |
926 |
$829.00 |
| 3078F |
|
979 |
889 |
$826.50 |
| 81000 |
|
904 |
882 |
$722.61 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
406 |
389 |
$699.05 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
814 |
725 |
$560.00 |
| 90658 |
|
63 |
61 |
$426.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$361.18 |
| 1125F |
|
871 |
785 |
$351.43 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,457 |
1,319 |
$297.75 |
| 99408 |
|
47 |
44 |
$270.13 |
| 36415 |
Collection of venous blood by venipuncture |
773 |
753 |
$231.62 |
| 1160F |
|
1,087 |
982 |
$161.93 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
31 |
$139.02 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
688 |
618 |
$121.68 |
| 3008F |
|
1,382 |
1,246 |
$116.69 |
| 1036F |
|
1,072 |
967 |
$116.43 |
| 82948 |
|
46 |
41 |
$110.09 |
| 3060F |
|
313 |
306 |
$99.42 |
| 99401 |
|
47 |
47 |
$93.00 |
| 96127 |
|
99 |
91 |
$75.00 |
| 1159F |
|
1,021 |
919 |
$65.00 |
| 3079F |
|
76 |
75 |
$37.50 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
12 |
$30.00 |
| 80365 |
|
37 |
33 |
$28.50 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
75 |
73 |
$19.25 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
83 |
83 |
$19.25 |
| 3075F |
|
13 |
13 |
$7.50 |
| 1126F |
|
32 |
29 |
$0.00 |
| 2010F |
|
1,363 |
1,235 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
101 |
93 |
$0.00 |
| 2016F |
|
12 |
12 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
363 |
332 |
$0.00 |
| 1000F |
|
58 |
58 |
$0.00 |
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
18 |
17 |
$0.00 |
| 3292F |
|
13 |
13 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
13 |
13 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
47 |
44 |
$0.00 |
| 4015F |
|
12 |
12 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
1,195 |
1,080 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
80 |
76 |
$0.00 |
| 2022F |
|
12 |
12 |
$0.00 |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
14 |
14 |
$0.00 |
| 3725F |
|
1,317 |
1,185 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
107 |
99 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
47 |
44 |
$0.00 |
| 3016F |
|
27 |
27 |
$0.00 |
| S9441 |
Asthma education, non-physician provider, per session |
12 |
12 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
31 |
29 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
48 |
45 |
$0.00 |
| S9453 |
Smoking cessation classes, non-physician provider, per session |
46 |
43 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
27 |
27 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
46 |
43 |
$0.00 |