| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,796 |
1,644 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
285 |
264 |
$10K |
| 93000 |
|
661 |
654 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
123 |
123 |
$6K |
| 99442 |
|
307 |
253 |
$4K |
| 99443 |
|
143 |
118 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
510 |
473 |
$3K |
| 99441 |
|
147 |
140 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
110 |
107 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
154 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
797 |
724 |
$1K |
| 90682 |
|
18 |
18 |
$578.55 |
| 0011A |
|
13 |
13 |
$493.23 |
| 90662 |
|
13 |
13 |
$480.90 |
| 94760 |
|
2,817 |
2,487 |
$403.25 |
| 90688 |
|
26 |
26 |
$304.61 |
| 82950 |
|
79 |
68 |
$227.88 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
307 |
300 |
$51.13 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
96 |
83 |
$38.50 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
104 |
92 |
$17.50 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
34 |
30 |
$17.50 |
| 3079F |
|
255 |
242 |
$2.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
138 |
138 |
$1.00 |
| 3074F |
|
306 |
291 |
$0.01 |
| 1159F |
|
346 |
329 |
$0.00 |
| 1160F |
|
295 |
279 |
$0.00 |
| 3725F |
|
31 |
31 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
15 |
12 |
$0.00 |
| 1158F |
|
15 |
14 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
119 |
109 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
181 |
156 |
$0.00 |
| 99429 |
|
120 |
94 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
379 |
341 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |