| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
5,163 |
5,163 |
$1.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,018 |
6,962 |
$424K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,388 |
9,009 |
$422K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
945 |
390 |
$76K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
1,660 |
1,078 |
$71K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
298 |
298 |
$55K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
311 |
311 |
$53K |
| 80305 |
|
1,653 |
1,435 |
$18K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
886 |
883 |
$10K |
| 80061 |
Lipid panel |
771 |
767 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
861 |
750 |
$9K |
| 81002 |
|
1,156 |
1,084 |
$4K |
| 90732 |
|
35 |
35 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
364 |
364 |
$4K |
| 82947 |
|
812 |
758 |
$3K |
| 90661 |
|
100 |
100 |
$2K |
| 90756 |
|
392 |
291 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
19 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
163 |
161 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
205 |
203 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
40 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$1K |
| 92551 |
|
158 |
157 |
$810.60 |
| 99173 |
|
157 |
156 |
$738.62 |
| 94060 |
|
34 |
34 |
$585.20 |
| 87400 |
|
85 |
82 |
$495.80 |
| 82962 |
|
272 |
264 |
$476.23 |
| G0009 |
Administration of pneumococcal vaccine |
44 |
44 |
$440.00 |
| 85014 |
|
164 |
161 |
$422.66 |
| 85018 |
|
152 |
149 |
$390.71 |
| 94010 |
|
13 |
13 |
$198.00 |
| 90688 |
|
12 |
12 |
$132.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
172 |
130 |
$13.64 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
34 |
34 |
$1.19 |
| 3078F |
|
1,261 |
1,139 |
$0.01 |
| 3077F |
|
985 |
904 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
91 |
90 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
148 |
146 |
$0.00 |
| 3074F |
|
1,073 |
982 |
$0.00 |
| 3080F |
|
505 |
473 |
$0.00 |
| 3075F |
|
756 |
713 |
$0.00 |
| 3079F |
|
1,451 |
1,321 |
$0.00 |
| 90686 |
|
129 |
129 |
$0.00 |
| 3044F |
|
30 |
30 |
$0.00 |