| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,933 |
3,325 |
$390K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,541 |
4,281 |
$377K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,012 |
927 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,408 |
2,149 |
$35K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
325 |
325 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,664 |
1,366 |
$29K |
| H0001 |
Alcohol and/or drug assessment |
627 |
599 |
$25K |
| H0049 |
Alcohol and/or drug screening |
626 |
599 |
$21K |
| 90686 |
|
900 |
898 |
$20K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,376 |
1,347 |
$19K |
| S9470 |
Nutritional counseling, dietitian visit |
441 |
420 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
172 |
172 |
$16K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
690 |
618 |
$14K |
| 99401 |
|
397 |
360 |
$12K |
| 80050 |
General health panel |
1,090 |
892 |
$10K |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
426 |
408 |
$9K |
| 99441 |
|
383 |
328 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,683 |
2,559 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
572 |
490 |
$7K |
| 90746 |
|
108 |
106 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$5K |
| 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 |
195 |
185 |
$4K |
| 0124A |
|
94 |
94 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
866 |
837 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
82 |
73 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
80 |
71 |
$2K |
| 96127 |
|
462 |
457 |
$2K |
| 99000 |
|
777 |
729 |
$2K |
| 99442 |
|
51 |
36 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
38 |
38 |
$1K |
| 99429 |
|
61 |
59 |
$1K |
| 0003A |
|
88 |
88 |
$950.04 |
| 81005 |
|
501 |
487 |
$882.93 |
| 3078F |
|
1,751 |
1,544 |
$807.50 |
| 3074F |
|
1,859 |
1,642 |
$805.50 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
16 |
15 |
$762.62 |
| 90715 |
|
15 |
15 |
$662.40 |
| 93000 |
|
49 |
49 |
$573.11 |
| 0012A |
|
14 |
14 |
$444.48 |
| 0013A |
|
19 |
19 |
$425.89 |
| 97802 |
|
12 |
12 |
$346.62 |
| 0011A |
|
16 |
16 |
$299.85 |
| 99051 |
|
27 |
25 |
$203.58 |
| 96160 |
|
54 |
54 |
$126.10 |
| 99173 |
|
12 |
12 |
$30.84 |
| 1124F |
|
641 |
641 |
$0.00 |
| 3725F |
|
916 |
892 |
$0.00 |
| 1160F |
|
685 |
683 |
$0.00 |
| 3016F |
|
350 |
349 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
212 |
212 |
$0.00 |
| 3293F |
|
263 |
263 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
290 |
272 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
219 |
218 |
$0.00 |
| 91300 |
|
17 |
17 |
$0.00 |
| 3028F |
|
25 |
25 |
$0.00 |
| 0004A |
|
15 |
15 |
$0.00 |
| 3015F |
|
13 |
13 |
$0.00 |
| 3044F |
|
1,038 |
963 |
$0.00 |
| 1036F |
|
592 |
570 |
$0.00 |
| 2010F |
|
25 |
25 |
$0.00 |
| 1000F |
|
755 |
730 |
$0.00 |
| 3075F |
|
23 |
18 |
$0.00 |
| 3008F |
|
2,901 |
2,385 |
$0.00 |
| 3072F |
|
25 |
25 |
$0.00 |
| 3292F |
|
703 |
703 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
270 |
260 |
$0.00 |
| 4293F |
|
303 |
303 |
$0.00 |
| 3079F |
|
85 |
79 |
$0.00 |
| 3048F |
|
553 |
533 |
$0.00 |
| 3011F |
|
329 |
329 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
198 |
179 |
$0.00 |
| 4037F |
|
466 |
465 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
27 |
27 |
$0.00 |
| 1220F |
|
120 |
120 |
$0.00 |
| 3049F |
|
32 |
29 |
$0.00 |
| 3215F |
|
12 |
12 |
$0.00 |
| 82043 |
|
21 |
18 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
16 |
16 |
$0.00 |