| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,328 |
2,900 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,514 |
2,952 |
$93K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
290 |
273 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
297 |
269 |
$21K |
| 99385 |
|
191 |
169 |
$12K |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
333 |
272 |
$6K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
165 |
138 |
$5K |
| H0049 |
Alcohol and/or drug screening |
443 |
409 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
18 |
$3K |
| 99386 |
|
30 |
27 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
36 |
$767.38 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
60 |
$531.69 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
47 |
43 |
$282.00 |
| 3074F |
|
478 |
408 |
$265.00 |
| 36415 |
Collection of venous blood by venipuncture |
246 |
205 |
$234.58 |
| 90686 |
|
16 |
15 |
$79.59 |
| 1159F |
|
4,591 |
3,653 |
$67.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
13 |
$30.00 |
| 81002 |
|
70 |
53 |
$6.27 |
| 3049F |
|
79 |
73 |
$0.00 |
| 3008F |
|
1,100 |
952 |
$0.00 |
| 96127 |
|
429 |
337 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
530 |
436 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
414 |
333 |
$0.00 |
| 3048F |
|
191 |
179 |
$0.00 |
| 4010F |
|
310 |
276 |
$0.00 |
| 3079F |
|
36 |
31 |
$0.00 |
| 2010F |
|
36 |
34 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
76 |
53 |
$0.00 |
| 3075F |
|
88 |
77 |
$0.00 |
| 1160F |
|
4,593 |
3,654 |
$0.00 |
| 3078F |
|
455 |
368 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
45 |
28 |
$0.00 |