| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
88 |
$223.51 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$141.70 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
27 |
27 |
$36.04 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
47 |
47 |
$36.00 |
| 36415 |
Collection of venous blood by venipuncture |
112 |
107 |
$33.81 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27 |
27 |
$22.50 |
| 99173 |
|
12 |
12 |
$18.00 |
| 92587 |
|
32 |
32 |
$11.70 |
| H0001 |
Alcohol and/or drug assessment |
31 |
31 |
$9.00 |
| 3016F |
|
46 |
46 |
$0.00 |
| 3725F |
|
47 |
47 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
16 |
16 |
$0.00 |
| 1000F |
|
43 |
43 |
$0.00 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
16 |
16 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
27 |
27 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |