| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,323 |
11,340 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,716 |
1,694 |
$47K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,882 |
1,874 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,954 |
3,741 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,296 |
1,292 |
$22K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,303 |
3,302 |
$18K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,134 |
1,133 |
$13K |
| 90688 |
|
544 |
541 |
$9K |
| 3078F |
|
6,570 |
5,858 |
$8K |
| 3074F |
|
5,797 |
5,219 |
$7K |
| 99385 |
|
182 |
182 |
$6K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
100 |
97 |
$5K |
| 97802 |
|
3,526 |
3,513 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,589 |
5,869 |
$5K |
| 93000 |
|
872 |
866 |
$5K |
| 99401 |
|
2,125 |
2,122 |
$4K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
157 |
157 |
$4K |
| 99442 |
|
122 |
99 |
$3K |
| 3077F |
|
2,120 |
1,927 |
$3K |
| 3079F |
|
2,193 |
2,090 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
776 |
765 |
$3K |
| 99441 |
|
143 |
119 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
306 |
306 |
$3K |
| 99386 |
|
60 |
60 |
$2K |
| 3075F |
|
1,677 |
1,621 |
$2K |
| 3080F |
|
849 |
795 |
$1K |
| 90756 |
|
74 |
74 |
$881.90 |
| 90746 |
|
15 |
15 |
$878.92 |
| 82947 |
|
369 |
354 |
$700.07 |
| 86580 |
|
83 |
74 |
$598.01 |
| 90686 |
|
28 |
28 |
$542.96 |
| 81025 |
|
402 |
396 |
$506.02 |
| A4927 |
Gloves, non-sterile, per 100 |
1,729 |
1,680 |
$400.74 |
| 81002 |
|
387 |
372 |
$257.80 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
15 |
15 |
$245.52 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
32 |
$212.41 |
| 80061 |
Lipid panel |
357 |
357 |
$205.51 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
848 |
842 |
$200.00 |
| 90658 |
|
22 |
22 |
$153.02 |
| 99406 |
|
315 |
315 |
$142.36 |
| A4258 |
Spring-powered device for lancet, each |
424 |
405 |
$110.98 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
69 |
68 |
$71.15 |
| H0001 |
Alcohol and/or drug assessment |
6,291 |
5,536 |
$61.33 |
| A9275 |
Home glucose disposable monitor, includes test strips |
265 |
251 |
$57.50 |
| A4930 |
Gloves, sterile, per pair |
597 |
564 |
$50.51 |
| G0008 |
Administration of influenza virus vaccine |
39 |
39 |
$35.80 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
77 |
74 |
$31.20 |
| 1160F |
|
296 |
256 |
$25.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
171 |
165 |
$8.32 |
| 36416 |
|
427 |
405 |
$5.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
68 |
63 |
$3.80 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15,767 |
13,845 |
$3.27 |
| 3008F |
|
12,601 |
10,877 |
$2.50 |
| 3048F |
|
619 |
611 |
$0.05 |
| 3049F |
|
243 |
241 |
$0.03 |
| 3061F |
|
360 |
358 |
$0.03 |
| 1031F |
|
1,232 |
1,230 |
$0.00 |
| 3011F |
|
2,711 |
2,682 |
$0.00 |
| 1036F |
|
4,095 |
3,659 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,816 |
6,002 |
$0.00 |
| 3754F |
|
1,776 |
1,775 |
$0.00 |
| 2000F |
|
6,794 |
6,118 |
$0.00 |
| 3292F |
|
65 |
65 |
$0.00 |
| 3044F |
|
1,071 |
1,057 |
$0.00 |
| G9228 |
Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) |
72 |
72 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
64 |
52 |
$0.00 |
| 3014F |
|
28 |
27 |
$0.00 |
| 3512F |
|
12 |
12 |
$0.00 |
| 99000 |
|
45 |
45 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| 1157F |
|
12 |
12 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
12 |
12 |
$0.00 |
| 2001F |
|
18 |
18 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
14 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,170 |
5,442 |
$0.00 |
| 3050F |
|
232 |
230 |
$0.00 |
| 1002F |
|
120 |
120 |
$0.00 |
| 3725F |
|
4,588 |
4,109 |
$0.00 |
| 3015F |
|
64 |
63 |
$0.00 |
| 99397 |
|
12 |
12 |
$0.00 |