| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,633 |
5,079 |
$422K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,055 |
2,846 |
$166K |
| 99401 |
|
2,436 |
2,165 |
$42K |
| 93000 |
|
1,552 |
1,544 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
211 |
211 |
$19K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,196 |
1,138 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
138 |
136 |
$11K |
| 90674 |
|
294 |
294 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
557 |
544 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,634 |
3,502 |
$4K |
| 94760 |
|
8,998 |
7,915 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
397 |
397 |
$3K |
| 3074F |
|
2,290 |
2,105 |
$3K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
161 |
159 |
$2K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
98 |
98 |
$2K |
| 3079F |
|
1,317 |
1,228 |
$2K |
| 0012A |
|
59 |
59 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 3078F |
|
1,455 |
1,367 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
108 |
101 |
$1K |
| 90756 |
|
59 |
59 |
$1K |
| 0011A |
|
51 |
51 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
74 |
73 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$977.67 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
117 |
116 |
$866.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
67 |
39 |
$771.40 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
25 |
25 |
$370.81 |
| 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 |
26 |
26 |
$323.40 |
| 3075F |
|
151 |
145 |
$227.50 |
| 99406 |
|
15 |
14 |
$128.97 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
16 |
$96.62 |
| 3077F |
|
30 |
29 |
$45.00 |
| 99000 |
|
4,453 |
4,175 |
$43.62 |
| 3080F |
|
13 |
12 |
$20.00 |
| 3008F |
|
3,339 |
2,978 |
$0.01 |
| 3037F |
|
3,764 |
3,361 |
$0.00 |
| 3028F |
|
3,713 |
3,315 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
22 |
20 |
$0.00 |