| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,630 |
10,292 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,207 |
2,201 |
$10K |
| 3074F |
|
7,316 |
7,291 |
$8K |
| G9920 |
Screening performed and negative |
1,493 |
1,492 |
$7K |
| 3078F |
|
6,980 |
6,957 |
$7K |
| 3008F |
|
8,326 |
8,312 |
$7K |
| 3725F |
|
7,986 |
7,977 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,337 |
3,325 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,224 |
1,218 |
$2K |
| 99385 |
|
669 |
669 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,714 |
3,714 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
290 |
281 |
$1K |
| 99386 |
|
660 |
660 |
$1K |
| 90658 |
|
176 |
175 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,749 |
3,745 |
$990.14 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
396 |
393 |
$955.84 |
| 1159F |
|
7,334 |
7,278 |
$855.00 |
| 1160F |
|
7,375 |
7,319 |
$840.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,912 |
3,910 |
$807.16 |
| 1036F |
|
7,502 |
7,411 |
$780.00 |
| 3079F |
|
321 |
321 |
$660.00 |
| 90688 |
|
41 |
41 |
$518.62 |
| 3044F |
|
517 |
507 |
$455.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
245 |
243 |
$345.34 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,571 |
3,571 |
$208.95 |
| 3061F |
|
166 |
166 |
$125.00 |
| 3015F |
|
1,622 |
1,612 |
$110.00 |
| 1000F |
|
151 |
151 |
$75.00 |
| 4000F |
|
95 |
95 |
$60.00 |
| 4010F |
|
156 |
156 |
$25.00 |
| 3051F |
|
12 |
12 |
$15.00 |
| 99443 |
|
3,933 |
3,568 |
$7.50 |
| 1158F |
|
14 |
14 |
$5.00 |
| 99441 |
|
1,911 |
1,820 |
$5.00 |
| 99401 |
|
158 |
158 |
$0.00 |
| 99397 |
|
79 |
79 |
$0.00 |
| 1124F |
|
82 |
82 |
$0.00 |
| 2028F |
|
153 |
153 |
$0.00 |
| 3288F |
|
14 |
14 |
$0.00 |
| 99442 |
|
486 |
471 |
$0.00 |
| 0521F |
|
14 |
14 |
$0.00 |
| 1090F |
|
14 |
14 |
$0.00 |
| 4158F |
|
14 |
14 |
$0.00 |
| 4188F |
|
322 |
311 |
$0.00 |
| 3351F |
|
3,533 |
3,532 |
$0.00 |
| 3075F |
|
38 |
38 |
$0.00 |
| 1123F |
|
82 |
82 |
$0.00 |
| 1034F |
|
50 |
50 |
$0.00 |
| 3048F |
|
168 |
168 |
$0.00 |
| 4305F |
|
154 |
154 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$0.00 |
| 99406 |
|
52 |
52 |
$0.00 |
| 1170F |
|
14 |
14 |
$0.00 |