| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,784 |
2,352 |
$179K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
554 |
543 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
549 |
505 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
245 |
244 |
$15K |
| 99397 |
|
139 |
138 |
$9K |
| H0049 |
Alcohol and/or drug screening |
602 |
589 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
43 |
$5K |
| 90688 |
|
275 |
273 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
329 |
324 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
128 |
124 |
$2K |
| 90656 |
|
30 |
30 |
$670.50 |
| 99401 |
|
17 |
17 |
$488.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
12 |
12 |
$440.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
16 |
16 |
$238.00 |
| 90658 |
|
14 |
14 |
$177.32 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
20 |
20 |
$171.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
144 |
141 |
$136.21 |
| 3078F |
|
548 |
478 |
$12.50 |
| 3074F |
|
546 |
477 |
$12.50 |
| 96127 |
|
160 |
157 |
$4.90 |
| 82274 |
|
34 |
33 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
507 |
421 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |
| 3725F |
|
209 |
204 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
37 |
37 |
$0.00 |
| 1159F |
|
50 |
50 |
$0.00 |
| 3288F |
|
20 |
20 |
$0.00 |
| 1100F |
|
20 |
20 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
208 |
203 |
$0.00 |
| 3292F |
|
19 |
19 |
$0.00 |
| 99000 |
|
184 |
180 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
593 |
507 |
$0.00 |
| 3008F |
|
1,167 |
962 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
104 |
104 |
$0.00 |
| 1000F |
|
105 |
105 |
$0.00 |
| 1101F |
|
20 |
20 |
$0.00 |
| 1036F |
|
105 |
105 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
183 |
179 |
$0.00 |
| 4037F |
|
113 |
113 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
12 |
12 |
$0.00 |