| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
269 |
235 |
$546.90 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
45 |
$121.10 |
| H0001 |
Alcohol and/or drug assessment |
62 |
62 |
$42.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
38 |
38 |
$31.52 |
| 97802 |
|
60 |
60 |
$20.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
62 |
62 |
$20.00 |
| 3078F |
|
53 |
43 |
$16.00 |
| 94760 |
|
49 |
49 |
$14.08 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
99 |
99 |
$8.00 |
| 3074F |
|
32 |
29 |
$8.00 |
| 3079F |
|
14 |
12 |
$8.00 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
26 |
25 |
$7.83 |
| G9383 |
Patient received screening for hcv infection within the 12 month reporting period |
33 |
32 |
$4.00 |
| 3725F |
|
40 |
40 |
$0.00 |
| 1159F |
|
147 |
109 |
$0.00 |
| 3016F |
|
38 |
38 |
$0.00 |
| 2028F |
|
37 |
37 |
$0.00 |
| 99072 |
|
76 |
67 |
$0.00 |
| 1160F |
|
147 |
109 |
$0.00 |
| 3008F |
|
40 |
40 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
91 |
81 |
$0.00 |
| 1000F |
|
38 |
38 |
$0.00 |
| 2000F |
|
75 |
60 |
$0.00 |
| 1036F |
|
38 |
38 |
$0.00 |
| 2010F |
|
52 |
47 |
$0.00 |
| 4293F |
|
38 |
38 |
$0.00 |
| 2001F |
|
75 |
60 |
$0.00 |