| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,232 |
835 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
193 |
180 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
99 |
98 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
72 |
70 |
$4K |
| 0012A |
|
49 |
49 |
$2K |
| 0011A |
|
75 |
70 |
$2K |
| 90694 |
|
40 |
39 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
146 |
143 |
$870.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
40 |
$648.90 |
| 0064A |
|
12 |
12 |
$440.00 |
| G0008 |
Administration of influenza virus vaccine |
40 |
39 |
$424.17 |
| 96127 |
|
339 |
329 |
$131.27 |
| 36415 |
Collection of venous blood by venipuncture |
236 |
232 |
$125.66 |
| H0049 |
Alcohol and/or drug screening |
53 |
53 |
$100.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
285 |
201 |
$79.12 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,007 |
686 |
$52.50 |
| 3078F |
|
36 |
29 |
$2.50 |
| 3725F |
|
1,012 |
694 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,191 |
785 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
505 |
437 |
$0.00 |
| 99408 |
|
286 |
281 |
$0.00 |
| H0006 |
Alcohol and/or drug services; case management |
30 |
30 |
$0.00 |
| 3016F |
|
12 |
12 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
29 |
29 |
$0.00 |
| 3008F |
|
1,780 |
1,174 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
406 |
288 |
$0.00 |
| 91301 |
|
15 |
14 |
$0.00 |
| 1000F |
|
133 |
133 |
$0.00 |
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
41 |
31 |
$0.00 |
| 3048F |
|
31 |
26 |
$0.00 |
| 3044F |
|
32 |
26 |
$0.00 |
| 1036F |
|
26 |
26 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
56 |
55 |
$0.00 |
| 4293F |
|
13 |
13 |
$0.00 |
| 4000F |
|
12 |
12 |
$0.00 |
| 3074F |
|
16 |
14 |
$0.00 |
| 3079F |
|
15 |
12 |
$0.00 |
| 3292F |
|
13 |
13 |
$0.00 |