| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
666 |
618 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
664 |
610 |
$22K |
| H1000 |
Prenatal care, at-risk assessment |
429 |
272 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
49 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
39 |
$4K |
| 59430 |
|
87 |
73 |
$4K |
| 87428 |
|
107 |
106 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
64 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
308 |
302 |
$2K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
14 |
13 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
142 |
136 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
113 |
108 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 92558 |
|
180 |
174 |
$858.06 |
| 81025 |
|
232 |
219 |
$537.98 |
| 36415 |
Collection of venous blood by venipuncture |
340 |
298 |
$528.00 |
| 85018 |
|
119 |
114 |
$95.23 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
16 |
15 |
$34.85 |
| 96160 |
|
338 |
305 |
$13.36 |
| 99173 |
|
237 |
217 |
$2.90 |
| 1160F |
|
70 |
62 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
963 |
708 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
572 |
428 |
$0.00 |
| 0502F |
|
460 |
283 |
$0.00 |
| 3078F |
|
1,051 |
756 |
$0.00 |
| 1159F |
|
88 |
78 |
$0.00 |
| 90671 |
|
45 |
45 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
285 |
234 |
$0.00 |
| 99000 |
|
904 |
744 |
$0.00 |
| 3075F |
|
131 |
117 |
$0.00 |
| 3074F |
|
1,223 |
927 |
$0.00 |
| 3008F |
|
92 |
71 |
$0.00 |
| 90647 |
|
45 |
45 |
$0.00 |
| 3079F |
|
355 |
291 |
$0.00 |
| 0503F |
|
75 |
65 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
198 |
155 |
$0.00 |
| 90723 |
|
33 |
33 |
$0.00 |
| 1036F |
|
407 |
331 |
$0.00 |
| 90686 |
|
18 |
18 |
$0.00 |