| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
464 |
446 |
$336.22 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
38 |
38 |
$123.70 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
38 |
38 |
$83.01 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
33 |
$20.56 |
| 3074F |
|
725 |
717 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
362 |
362 |
$0.00 |
| 2010F |
|
746 |
736 |
$0.00 |
| 1000F |
|
329 |
329 |
$0.00 |
| 3017F |
|
109 |
108 |
$0.00 |
| 3048F |
|
127 |
127 |
$0.00 |
| 4293F |
|
330 |
330 |
$0.00 |
| 3044F |
|
127 |
126 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
338 |
338 |
$0.00 |
| 3061F |
|
97 |
97 |
$0.00 |
| 2000F |
|
745 |
735 |
$0.00 |
| 3008F |
|
618 |
613 |
$0.00 |
| 94760 |
|
341 |
341 |
$0.00 |
| 1036F |
|
330 |
330 |
$0.00 |
| 2001F |
|
744 |
734 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
27 |
27 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
38 |
38 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
338 |
338 |
$0.00 |
| 97802 |
|
340 |
340 |
$0.00 |
| 3014F |
|
15 |
15 |
$0.00 |
| 1170F |
|
38 |
38 |
$0.00 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
79 |
79 |
$0.00 |
| 3011F |
|
130 |
130 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
38 |
38 |
$0.00 |
| 1126F |
|
38 |
38 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
132 |
132 |
$0.00 |
| 2028F |
|
330 |
330 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
338 |
338 |
$0.00 |
| 1159F |
|
731 |
719 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
102 |
102 |
$0.00 |
| 3725F |
|
329 |
329 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
38 |
38 |
$0.00 |
| 1158F |
|
38 |
38 |
$0.00 |
| 1160F |
|
731 |
719 |
$0.00 |
| 3016F |
|
330 |
330 |
$0.00 |
| G9383 |
Patient received screening for hcv infection within the 12 month reporting period |
102 |
102 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
38 |
38 |
$0.00 |
| 3078F |
|
727 |
719 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
61 |
60 |
$0.00 |
| 99397 |
|
24 |
24 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 3015F |
|
27 |
27 |
$0.00 |