| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,291 |
2,240 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,009 |
1,876 |
$10K |
| 93000 |
|
676 |
673 |
$8K |
| 90682 |
|
167 |
167 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
632 |
628 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
444 |
423 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
918 |
888 |
$2K |
| 90688 |
|
105 |
105 |
$2K |
| 99441 |
|
552 |
530 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
52 |
$810.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$602.84 |
| 90662 |
|
99 |
99 |
$471.79 |
| 3074F |
|
316 |
294 |
$432.51 |
| 82950 |
|
598 |
549 |
$310.37 |
| 3079F |
|
267 |
259 |
$282.50 |
| 94760 |
|
5,110 |
4,728 |
$230.87 |
| 90674 |
|
52 |
52 |
$202.48 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
483 |
478 |
$193.59 |
| 3078F |
|
122 |
115 |
$172.50 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
149 |
148 |
$60.00 |
| 3077F |
|
29 |
27 |
$60.00 |
| 90630 |
|
37 |
37 |
$55.44 |
| 3075F |
|
17 |
17 |
$27.50 |
| 1126F |
|
52 |
46 |
$15.00 |
| 1170F |
|
82 |
76 |
$15.00 |
| 1159F |
|
126 |
114 |
$15.00 |
| 1160F |
|
110 |
99 |
$7.50 |
| 1036F |
|
132 |
117 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
83 |
81 |
$0.00 |
| 3008F |
|
449 |
432 |
$0.00 |
| 2010F |
|
209 |
199 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
57 |
57 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
175 |
152 |
$0.00 |
| 2000F |
|
26 |
25 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
180 |
153 |
$0.00 |
| 3351F |
|
13 |
12 |
$0.00 |
| 3044F |
|
32 |
28 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
67 |
67 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
99 |
95 |
$0.00 |
| 1158F |
|
190 |
165 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
158 |
150 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
68 |
67 |
$0.00 |