| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,184 |
2,859 |
$58K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
126 |
104 |
$19K |
| 99384 |
|
62 |
49 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,553 |
4,041 |
$8K |
| 93000 |
|
134 |
134 |
$3K |
| 97802 |
|
459 |
435 |
$3K |
| 99000 |
|
1,816 |
1,748 |
$2K |
| 92551 |
|
426 |
425 |
$2K |
| 96156 |
|
805 |
790 |
$2K |
| 92015 |
Determination of refractive state |
166 |
165 |
$1K |
| H0049 |
Alcohol and/or drug screening |
1,977 |
1,888 |
$985.03 |
| 99408 |
|
781 |
745 |
$725.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
101 |
100 |
$700.00 |
| 90649 |
|
82 |
82 |
$594.00 |
| 90734 |
|
57 |
57 |
$513.00 |
| 85018 |
|
669 |
622 |
$424.75 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
492 |
480 |
$395.00 |
| 90715 |
|
39 |
39 |
$351.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
127 |
127 |
$318.11 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,470 |
1,451 |
$289.11 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,311 |
1,231 |
$189.70 |
| G9920 |
Screening performed and negative |
33 |
33 |
$125.00 |
| 4004F |
|
868 |
851 |
$90.28 |
| 36415 |
Collection of venous blood by venipuncture |
369 |
353 |
$90.00 |
| 81002 |
|
199 |
193 |
$4.26 |
| 3008F |
|
4,657 |
4,062 |
$1.00 |
| 1159F |
|
1,780 |
1,574 |
$0.69 |
| 1160F |
|
1,237 |
1,102 |
$0.69 |
| 1036F |
|
1,636 |
1,565 |
$0.50 |
| 1126F |
|
1,019 |
942 |
$0.37 |
| 1125F |
|
827 |
727 |
$0.16 |
| 0001F |
|
18 |
18 |
$0.03 |
| 3078F |
|
2,893 |
2,499 |
$0.02 |
| 3074F |
|
2,829 |
2,449 |
$0.01 |
| 92552 |
|
127 |
126 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
56 |
$0.00 |
| 99173 |
|
385 |
384 |
$0.00 |
| 3077F |
|
66 |
61 |
$0.00 |
| 99446 |
|
40 |
39 |
$0.00 |
| 81003 |
|
154 |
148 |
$0.00 |
| 82947 |
|
29 |
27 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
33 |
33 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$0.00 |
| 1158F |
|
15 |
15 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
72 |
68 |
$0.00 |
| 3075F |
|
90 |
84 |
$0.00 |
| 96150 |
|
85 |
85 |
$0.00 |
| 3079F |
|
180 |
169 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 90686 |
|
25 |
25 |
$0.00 |
| 3351F |
|
66 |
66 |
$0.00 |
| 99447 |
|
53 |
47 |
$0.00 |
| 99406 |
|
28 |
27 |
$0.00 |
| 3352F |
|
16 |
16 |
$0.00 |
| 82962 |
|
43 |
41 |
$0.00 |
| 99441 |
|
62 |
60 |
$0.00 |
| 3048F |
|
30 |
29 |
$0.00 |
| 3049F |
|
19 |
19 |
$0.00 |
| 1101F |
|
16 |
16 |
$0.00 |