| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,496 |
6,319 |
$281K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,255 |
1,239 |
$45K |
| 99443 |
|
382 |
326 |
$12K |
| 99401 |
|
1,683 |
1,667 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
357 |
355 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
584 |
561 |
$6K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
556 |
526 |
$4K |
| 99397 |
|
89 |
88 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,556 |
4,085 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
35 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
200 |
196 |
$2K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
1,741 |
1,725 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
331 |
317 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,941 |
1,913 |
$1K |
| 82042 |
|
538 |
509 |
$605.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
131 |
126 |
$549.78 |
| 3074F |
|
577 |
500 |
$515.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,675 |
1,658 |
$466.02 |
| S9470 |
Nutritional counseling, dietitian visit |
1,474 |
1,449 |
$450.03 |
| 96127 |
|
2,818 |
2,534 |
$395.08 |
| 99442 |
|
12 |
12 |
$311.35 |
| 3078F |
|
395 |
342 |
$282.50 |
| 36415 |
Collection of venous blood by venipuncture |
1,292 |
1,278 |
$262.36 |
| 90658 |
|
32 |
32 |
$256.40 |
| 90688 |
|
73 |
72 |
$160.56 |
| H0001 |
Alcohol and/or drug assessment |
2,515 |
2,298 |
$100.41 |
| G0008 |
Administration of influenza virus vaccine |
73 |
73 |
$51.60 |
| 3079F |
|
174 |
153 |
$47.50 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,695 |
3,295 |
$11.14 |
| G9275 |
Documentation that patient is a current non-tobacco user |
3,018 |
2,735 |
$8.47 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
962 |
811 |
$2.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
994 |
834 |
$2.00 |
| 3016F |
|
2,968 |
2,662 |
$0.00 |
| 3725F |
|
3,427 |
3,068 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,601 |
1,569 |
$0.00 |
| 2028F |
|
113 |
108 |
$0.00 |
| 2022F |
|
131 |
123 |
$0.00 |
| 3015F |
|
44 |
44 |
$0.00 |
| 99499 |
|
12 |
12 |
$0.00 |
| 3077F |
|
14 |
14 |
$0.00 |
| 3045F |
|
17 |
15 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,291 |
1,136 |
$0.00 |
| 3044F |
|
83 |
81 |
$0.00 |
| 99000 |
|
42 |
42 |
$0.00 |
| 3008F |
|
2,857 |
2,433 |
$0.00 |
| 3048F |
|
215 |
206 |
$0.00 |
| 4010F |
|
466 |
440 |
$0.00 |
| 1000F |
|
2,593 |
2,371 |
$0.00 |
| 1036F |
|
2,489 |
2,267 |
$0.00 |
| 3014F |
|
31 |
31 |
$0.00 |
| 3017F |
|
98 |
94 |
$0.00 |
| 3061F |
|
28 |
26 |
$0.00 |
| 99403 |
|
18 |
16 |
$0.00 |
| 3075F |
|
18 |
15 |
$0.00 |