| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,016 |
3,355 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,551 |
2,228 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
511 |
474 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
639 |
578 |
$43K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
185 |
172 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
120 |
$8K |
| 99402 |
|
360 |
351 |
$3K |
| 99401 |
|
359 |
322 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
399 |
369 |
$684.47 |
| 99442 |
|
148 |
125 |
$504.39 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
19 |
14 |
$360.38 |
| 99496 |
|
105 |
101 |
$335.45 |
| 3074F |
|
2,200 |
1,751 |
$275.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$151.82 |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
49 |
42 |
$85.45 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
92 |
84 |
$58.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$53.59 |
| 3075F |
|
912 |
780 |
$50.00 |
| 3008F |
|
3,924 |
2,962 |
$0.13 |
| 1125F |
|
749 |
614 |
$0.00 |
| 1170F |
|
1,348 |
1,079 |
$0.00 |
| 3079F |
|
1,114 |
898 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
109 |
96 |
$0.00 |
| 1126F |
|
1,359 |
1,159 |
$0.00 |
| 1111F |
|
32 |
26 |
$0.00 |
| 3080F |
|
194 |
153 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
107 |
96 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
19 |
15 |
$0.00 |
| 1123F |
|
14 |
13 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3078F |
|
2,185 |
1,752 |
$0.00 |
| 1158F |
|
178 |
156 |
$0.00 |
| 1160F |
|
1,792 |
1,445 |
$0.00 |
| 1159F |
|
1,786 |
1,438 |
$0.00 |
| 0521F |
|
1,926 |
1,581 |
$0.00 |
| 3077F |
|
397 |
324 |
$0.00 |
| 99497 |
|
78 |
69 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
18 |
14 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
48 |
42 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
15 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
17 |
12 |
$0.00 |