| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,338 |
2,255 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,416 |
2,100 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
393 |
378 |
$21K |
| 93000 |
|
853 |
848 |
$6K |
| 99397 |
|
79 |
77 |
$6K |
| 90750 |
|
68 |
66 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
727 |
719 |
$5K |
| 94010 |
|
125 |
124 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$2K |
| 96160 |
|
47 |
47 |
$1K |
| 99490 |
Ccm add 20min |
32 |
32 |
$795.58 |
| 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 |
$703.52 |
| 90756 |
|
30 |
30 |
$488.81 |
| 96127 |
|
227 |
226 |
$416.67 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
271 |
252 |
$362.98 |
| 36415 |
Collection of venous blood by venipuncture |
581 |
550 |
$351.16 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
200 |
187 |
$343.83 |
| 90688 |
|
14 |
14 |
$195.40 |
| 94762 |
|
12 |
12 |
$124.30 |
| 99000 |
|
256 |
227 |
$117.93 |
| 1160F |
|
190 |
187 |
$94.74 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
106 |
103 |
$62.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
63 |
62 |
$50.00 |
| G9150 |
National committee for quality assurance - level 3 medical home |
279 |
263 |
$9.00 |
| 94760 |
|
86 |
79 |
$5.02 |
| 1126F |
|
26 |
26 |
$5.00 |
| 1159F |
|
59 |
58 |
$5.00 |
| 3078F |
|
25 |
25 |
$2.50 |
| 82947 |
|
31 |
28 |
$0.79 |
| A4245 |
Alcohol wipes, per box |
29 |
27 |
$0.20 |
| 1036F |
|
56 |
56 |
$0.10 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
26 |
25 |
$0.10 |
| A4927 |
Gloves, non-sterile, per 100 |
32 |
29 |
$0.04 |
| 3008F |
|
80 |
79 |
$0.03 |
| 4293F |
|
40 |
40 |
$0.03 |
| 2001F |
|
13 |
13 |
$0.01 |
| 99429 |
|
717 |
669 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
39 |
39 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
47 |
46 |
$0.00 |
| 97802 |
|
68 |
68 |
$0.00 |
| 1000F |
|
30 |
30 |
$0.00 |
| 2000F |
|
13 |
13 |
$0.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
13 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
41 |
40 |
$0.00 |
| 97803 |
|
27 |
27 |
$0.00 |
| 3725F |
|
58 |
58 |
$0.00 |
| 99080 |
|
1,633 |
60 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
27 |
27 |
$0.00 |
| 3016F |
|
13 |
13 |
$0.00 |