| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,375 |
17,979 |
$841K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
832 |
832 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,157 |
2,050 |
$66K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
160 |
143 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,204 |
2,167 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
97 |
83 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
55 |
$2K |
| 99454 |
|
988 |
913 |
$2K |
| 99457 |
|
1,241 |
1,148 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
23 |
23 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$849.64 |
| 99385 |
|
12 |
12 |
$603.19 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
154 |
139 |
$370.71 |
| 99458 |
|
268 |
238 |
$198.02 |
| 99453 |
|
152 |
120 |
$177.22 |
| 99490 |
Ccm add 20min |
343 |
321 |
$70.59 |
| 3079F |
|
1,044 |
1,029 |
$57.08 |
| 3075F |
|
806 |
799 |
$48.02 |
| 3074F |
|
746 |
728 |
$23.04 |
| 3044F |
|
818 |
793 |
$20.00 |
| 3078F |
|
464 |
456 |
$20.00 |
| 3072F |
|
722 |
700 |
$12.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
282 |
279 |
$7.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
281 |
278 |
$6.00 |
| 3341F |
|
257 |
255 |
$0.00 |
| 3017F |
|
204 |
188 |
$0.00 |
| 1125F |
|
14 |
13 |
$0.00 |
| 4013F |
|
103 |
100 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
33 |
32 |
$0.00 |
| 3051F |
|
140 |
140 |
$0.00 |
| 3342F |
|
340 |
330 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 1160F |
|
14 |
13 |
$0.00 |