| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,952 |
14,476 |
$2.53M |
| 59425 |
|
260 |
195 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,680 |
6,775 |
$6K |
| 96156 |
|
3,444 |
2,205 |
$4K |
| 94760 |
|
21,006 |
12,727 |
$4K |
| 92551 |
|
2,373 |
1,517 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
388 |
270 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,334 |
2,224 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,359 |
896 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
539 |
356 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
176 |
134 |
$1K |
| 97802 |
|
708 |
454 |
$728.40 |
| 90686 |
|
1,104 |
811 |
$256.60 |
| 90674 |
|
102 |
74 |
$144.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
12 |
$113.70 |
| 90715 |
|
45 |
31 |
$100.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
118 |
74 |
$87.70 |
| 99401 |
|
152 |
114 |
$67.31 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
280 |
222 |
$67.28 |
| 85018 |
|
2,444 |
1,595 |
$60.01 |
| 96127 |
|
377 |
255 |
$49.57 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
138 |
85 |
$44.52 |
| 99000 |
|
4,411 |
2,939 |
$24.93 |
| 90700 |
|
23 |
13 |
$20.00 |
| 90633 |
|
110 |
79 |
$20.00 |
| 90677 |
|
18 |
13 |
$18.00 |
| 82962 |
|
1,362 |
936 |
$18.00 |
| 81002 |
|
1,134 |
725 |
$17.20 |
| 81025 |
|
39 |
27 |
$8.40 |
| 96160 |
|
674 |
439 |
$0.00 |
| 82947 |
|
19 |
13 |
$0.00 |
| 99173 |
|
2,332 |
1,521 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,698 |
1,830 |
$0.00 |
| 90461 |
|
922 |
623 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
423 |
254 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,960 |
1,247 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,216 |
1,513 |
$0.00 |
| 3077F |
|
200 |
129 |
$0.00 |
| 90756 |
|
54 |
54 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,714 |
1,133 |
$0.00 |
| Z6400 |
|
94 |
79 |
$0.00 |
| 3078F |
|
2,599 |
1,540 |
$0.00 |
| G9920 |
Screening performed and negative |
659 |
426 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
493 |
346 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
295 |
205 |
$0.00 |
| 3015F |
|
242 |
178 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
787 |
521 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,131 |
708 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
183 |
118 |
$0.00 |
| 1160F |
|
557 |
375 |
$0.00 |
| 90670 |
|
136 |
108 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
48 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
18 |
13 |
$0.00 |
| 97803 |
|
16 |
16 |
$0.00 |
| 90734 |
|
17 |
12 |
$0.00 |
| 90687 |
|
84 |
57 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
34 |
24 |
$0.00 |
| 83655 |
|
109 |
61 |
$0.00 |
| 80061 |
Lipid panel |
37 |
26 |
$0.00 |
| Z6304 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,823 |
1,220 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
260 |
177 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,583 |
1,787 |
$0.00 |
| 1031F |
|
673 |
428 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,839 |
1,912 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
618 |
430 |
$0.00 |
| 3044F |
|
23 |
13 |
$0.00 |
| Z1034 |
|
545 |
411 |
$0.00 |
| 3008F |
|
19,622 |
11,972 |
$0.00 |
| 90688 |
|
76 |
65 |
$0.00 |
| 90716 |
|
18 |
12 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
861 |
567 |
$0.00 |
| 3074F |
|
2,693 |
1,548 |
$0.00 |
| Z6410 |
|
665 |
514 |
$0.00 |
| 3075F |
|
89 |
56 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
72 |
44 |
$0.00 |
| 1036F |
|
940 |
626 |
$0.00 |
| 90651 |
|
42 |
29 |
$0.00 |
| 90619 |
|
23 |
14 |
$0.00 |
| 1000F |
|
334 |
219 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
109 |
72 |
$0.00 |
| 99441 |
|
217 |
173 |
$0.00 |
| 3079F |
|
248 |
157 |
$0.00 |
| Z6406 |
|
30 |
29 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
36 |
26 |
$0.00 |
| 90697 |
|
77 |
55 |
$0.00 |
| 99385 |
|
41 |
25 |
$0.00 |
| Z6204 |
|
19 |
19 |
$0.00 |
| 86803 |
|
46 |
30 |
$0.00 |
| 96161 |
|
221 |
144 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
19 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
175 |
102 |
$0.00 |
| 99381 |
|
18 |
13 |
$0.00 |
| 99383 |
|
42 |
28 |
$0.00 |