| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,033 |
5,292 |
$470K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,393 |
1,196 |
$79K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
775 |
750 |
$13K |
| 99497 |
|
318 |
315 |
$12K |
| 99401 |
|
659 |
656 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
612 |
592 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
63 |
61 |
$8K |
| 90674 |
|
196 |
195 |
$6K |
| 99051 |
|
1,688 |
1,514 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,825 |
1,788 |
$2K |
| 90756 |
|
110 |
110 |
$2K |
| 99397 |
|
131 |
131 |
$2K |
| 90661 |
|
61 |
61 |
$2K |
| H0049 |
Alcohol and/or drug screening |
478 |
476 |
$2K |
| 90694 |
|
268 |
268 |
$904.76 |
| 0064A |
|
22 |
22 |
$765.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
358 |
356 |
$619.03 |
| 90653 |
|
67 |
67 |
$404.84 |
| 3078F |
|
307 |
278 |
$399.50 |
| 90658 |
|
21 |
20 |
$372.36 |
| G0008 |
Administration of influenza virus vaccine |
266 |
266 |
$360.14 |
| 0134A |
|
22 |
21 |
$360.00 |
| 90688 |
|
18 |
18 |
$338.56 |
| 3074F |
|
261 |
237 |
$317.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
134 |
134 |
$279.69 |
| 99072 |
|
195 |
149 |
$206.00 |
| 99406 |
|
14 |
13 |
$184.97 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
12 |
12 |
$177.30 |
| G9275 |
Documentation that patient is a current non-tobacco user |
27 |
26 |
$150.00 |
| 81000 |
|
30 |
30 |
$97.31 |
| 3079F |
|
30 |
25 |
$50.00 |
| 3075F |
|
71 |
66 |
$42.50 |
| 96127 |
|
16 |
16 |
$39.95 |
| 3044F |
|
35 |
27 |
$20.00 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
14 |
$13.23 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
16 |
$12.00 |
| 91306 |
|
18 |
18 |
$0.12 |
| 91313 |
|
22 |
21 |
$0.05 |
| 90732 |
|
14 |
14 |
$0.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
125 |
121 |
$0.00 |
| 3050F |
|
75 |
63 |
$0.00 |
| 3725F |
|
84 |
83 |
$0.00 |
| 4004F |
|
86 |
82 |
$0.00 |
| 3351F |
|
84 |
84 |
$0.00 |
| 3049F |
|
35 |
25 |
$0.00 |
| 1220F |
|
85 |
85 |
$0.00 |
| 3017F |
|
26 |
25 |
$0.00 |
| 3008F |
|
105 |
105 |
$0.00 |
| 1000F |
|
56 |
55 |
$0.00 |
| 1036F |
|
63 |
61 |
$0.00 |
| 3048F |
|
15 |
13 |
$0.00 |