| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90791 |
Psychiatric diagnostic evaluation |
6,063 |
3,557 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,641 |
4,107 |
$19K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
7,919 |
5,553 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,662 |
2,366 |
$11K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
6,295 |
5,521 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,853 |
1,633 |
$7K |
| G0245 |
Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
444 |
414 |
$5K |
| 80053 |
Comprehensive metabolic panel |
2,029 |
1,896 |
$5K |
| 95905 |
|
521 |
482 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
561 |
512 |
$4K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
2,202 |
1,905 |
$2K |
| 80061 |
Lipid panel |
948 |
907 |
$2K |
| 99401 |
|
4,685 |
4,028 |
$2K |
| 99441 |
|
492 |
443 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,753 |
1,534 |
$1K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
405 |
388 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,738 |
1,596 |
$1K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
456 |
421 |
$950.00 |
| 3075F |
|
1,811 |
1,710 |
$849.57 |
| 3074F |
|
3,632 |
3,320 |
$716.11 |
| 3077F |
|
1,547 |
1,448 |
$675.88 |
| 99408 |
|
825 |
671 |
$600.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
121 |
118 |
$523.08 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
166 |
158 |
$404.32 |
| 82948 |
|
525 |
484 |
$340.64 |
| 1111F |
|
204 |
189 |
$330.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
1,818 |
1,616 |
$317.00 |
| 3078F |
|
5,498 |
4,957 |
$261.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
5,285 |
4,666 |
$257.64 |
| 99407 |
|
287 |
220 |
$239.16 |
| 82044 |
|
167 |
159 |
$186.89 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,604 |
4,093 |
$144.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,007 |
1,811 |
$138.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$114.40 |
| 3079F |
|
1,035 |
978 |
$71.00 |
| G0102 |
Prostate cancer screening; digital rectal examination |
18 |
16 |
$59.40 |
| 99406 |
|
589 |
503 |
$41.24 |
| 99442 |
|
248 |
234 |
$3.33 |
| 90863 |
|
156 |
155 |
$0.00 |
| 1159F |
|
620 |
564 |
$0.00 |
| 1160F |
|
594 |
539 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
17 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
63 |
$0.00 |
| 1220F |
|
2,833 |
2,568 |
$0.00 |
| 3008F |
|
3,052 |
2,751 |
$0.00 |
| 36416 |
|
749 |
676 |
$0.00 |
| 3044F |
|
42 |
40 |
$0.00 |
| 3080F |
|
115 |
104 |
$0.00 |
| 1125F |
|
58 |
54 |
$0.00 |
| 3072F |
|
182 |
167 |
$0.00 |
| 99385 |
|
64 |
64 |
$0.00 |
| G0155 |
Services of clinical social worker in home health or hospice settings, each 15 minutes |
15 |
15 |
$0.00 |
| 1036F |
|
67 |
67 |
$0.00 |
| 93000 |
|
19 |
19 |
$0.00 |