| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90674 |
|
597 |
596 |
$21K |
| 90658 |
|
610 |
610 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,063 |
6,829 |
$4K |
| 90715 |
|
87 |
87 |
$3K |
| 96156 |
|
68 |
68 |
$2K |
| 99422 |
|
90 |
86 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 92551 |
|
73 |
73 |
$828.68 |
| 96151 |
|
193 |
193 |
$696.00 |
| 99205 |
Prolong outpt/office vis |
308 |
306 |
$427.36 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$398.22 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
358 |
358 |
$372.58 |
| 96150 |
|
38 |
38 |
$372.16 |
| 90739 |
|
129 |
129 |
$314.74 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,368 |
3,529 |
$250.14 |
| 90662 |
|
13 |
13 |
$181.41 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$122.52 |
| 99215 |
Prolong outpt/office vis |
759 |
758 |
$114.40 |
| 97803 |
|
102 |
90 |
$26.11 |
| 36415 |
Collection of venous blood by venipuncture |
3,912 |
3,823 |
$22.37 |
| 92499 |
|
57 |
57 |
$2.54 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
308 |
259 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
24 |
24 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
208 |
208 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
206 |
167 |
$0.00 |
| 1125F |
|
13 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
732 |
576 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
25 |
25 |
$0.00 |
| 90657 |
|
121 |
121 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 1101F |
|
13 |
13 |
$0.00 |
| 80061 |
Lipid panel |
226 |
226 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
121 |
97 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
731 |
576 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
35 |
35 |
$0.00 |
| 99483 |
Prolong outpt/office vis |
25 |
25 |
$0.00 |