| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,194 |
1,801 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,670 |
1,390 |
$133K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
713 |
587 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
109 |
108 |
$9K |
| 94010 |
|
226 |
226 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
62 |
$5K |
| 99401 |
|
209 |
182 |
$3K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
37 |
27 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
92 |
75 |
$2K |
| 3074F |
|
1,460 |
1,205 |
$2K |
| 3078F |
|
1,335 |
1,120 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
92 |
90 |
$2K |
| 90686 |
|
78 |
76 |
$1K |
| 93000 |
|
88 |
88 |
$1K |
| 95924 |
|
24 |
24 |
$1K |
| 3079F |
|
371 |
322 |
$806.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$712.58 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
46 |
45 |
$557.96 |
| 92552 |
|
27 |
27 |
$484.38 |
| 3075F |
|
206 |
185 |
$475.00 |
| 3077F |
|
171 |
149 |
$460.00 |
| 3080F |
|
122 |
112 |
$379.00 |
| 90688 |
|
14 |
14 |
$247.86 |
| 96161 |
|
198 |
181 |
$175.44 |
| 36415 |
Collection of venous blood by venipuncture |
555 |
539 |
$159.10 |
| 96160 |
|
125 |
113 |
$104.08 |
| 1159F |
|
1,152 |
960 |
$100.00 |
| 1160F |
|
1,153 |
963 |
$95.00 |
| 1111F |
|
16 |
13 |
$80.00 |
| 80305 |
|
17 |
13 |
$56.16 |
| 99173 |
|
246 |
245 |
$25.43 |
| 96127 |
|
167 |
160 |
$14.56 |
| 94760 |
|
3,965 |
3,022 |
$7.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
178 |
171 |
$3.97 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
16 |
$0.13 |
| 3008F |
|
573 |
561 |
$0.01 |
| 3511F |
|
185 |
184 |
$0.00 |
| 3050F |
|
18 |
18 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
75 |
65 |
$0.00 |
| 99000 |
|
548 |
532 |
$0.00 |
| 3044F |
|
97 |
96 |
$0.00 |
| 2000F |
|
1,761 |
1,325 |
$0.00 |
| 1126F |
|
105 |
93 |
$0.00 |
| 3049F |
|
29 |
29 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
76 |
65 |
$0.00 |
| 3048F |
|
13 |
13 |
$0.00 |