| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,502 |
2,333 |
$484K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,087 |
2,377 |
$293K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,116 |
2,562 |
$255K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,876 |
1,876 |
$24K |
| A4267 |
Contraceptive supply, condom, male, each |
2,843 |
2,832 |
$11K |
| 99000 |
|
2,466 |
2,436 |
$8K |
| 99349 |
|
39 |
39 |
$2K |
| 99343 |
|
20 |
20 |
$701.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
145 |
135 |
$13.86 |
| 1125F |
|
163 |
147 |
$9.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
25 |
$4.42 |
| 82948 |
|
47 |
42 |
$2.68 |
| 99173 |
|
190 |
182 |
$2.07 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
105 |
94 |
$1.73 |
| 1160F |
|
314 |
269 |
$0.03 |
| 90461 |
|
15 |
15 |
$0.00 |
| 81002 |
|
24 |
21 |
$0.00 |
| 3077F |
|
269 |
231 |
$0.00 |
| 0521F |
|
120 |
109 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
50 |
$0.00 |
| 1159F |
|
303 |
258 |
$0.00 |
| 99401 |
|
488 |
407 |
$0.00 |
| 3078F |
|
449 |
394 |
$0.00 |
| 3725F |
|
430 |
382 |
$0.00 |
| 4004F |
|
71 |
61 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
24 |
24 |
$0.00 |
| 1158F |
|
120 |
105 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
29 |
28 |
$0.00 |
| 92552 |
|
14 |
14 |
$0.00 |
| 3008F |
|
964 |
819 |
$0.00 |
| 1000F |
|
453 |
399 |
$0.00 |
| 3080F |
|
168 |
145 |
$0.00 |
| 3079F |
|
234 |
214 |
$0.00 |
| 3074F |
|
491 |
440 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
45 |
42 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |
| 92551 |
|
177 |
173 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
363 |
327 |
$0.00 |
| 1034F |
|
72 |
61 |
$0.00 |
| 1036F |
|
386 |
338 |
$0.00 |
| 1126F |
|
137 |
118 |
$0.00 |
| 3075F |
|
125 |
115 |
$0.00 |
| 85018 |
|
122 |
115 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
66 |
64 |
$0.00 |
| 99385 |
|
13 |
13 |
$0.00 |
| 96150 |
|
14 |
14 |
$0.00 |