| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,363 |
14,261 |
$3.86M |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
5,695 |
4,490 |
$1.59M |
| G9012 |
Other specified case management service not elsewhere classified |
7,078 |
4,132 |
$618K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
108 |
107 |
$134K |
| G9920 |
Screening performed and negative |
332 |
331 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
255 |
245 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,108 |
4,459 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,716 |
1,516 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,129 |
2,482 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
992 |
797 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,535 |
2,068 |
$902.35 |
| 90686 |
|
32 |
26 |
$93.96 |
| 99000 |
|
147 |
97 |
$75.85 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
146 |
132 |
$51.24 |
| 82962 |
|
743 |
666 |
$48.00 |
| 3074F |
|
2,331 |
1,954 |
$40.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
38 |
$25.00 |
| 99215 |
Prolong outpt/office vis |
300 |
221 |
$23.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
203 |
176 |
$22.30 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
712 |
464 |
$18.24 |
| 86803 |
|
40 |
39 |
$12.44 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,039 |
695 |
$7.05 |
| 99442 |
|
895 |
586 |
$5.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
440 |
275 |
$5.00 |
| 1160F |
|
4,585 |
3,395 |
$0.00 |
| 1159F |
|
4,582 |
3,399 |
$0.00 |
| 1003F |
|
660 |
448 |
$0.00 |
| 3078F |
|
2,043 |
1,731 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
314 |
212 |
$0.00 |
| 3725F |
|
709 |
461 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,493 |
979 |
$0.00 |
| 3077F |
|
241 |
189 |
$0.00 |
| 4274F |
|
230 |
202 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
122 |
79 |
$0.00 |
| 99173 |
|
714 |
435 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
104 |
91 |
$0.00 |
| 82948 |
|
47 |
26 |
$0.00 |
| 4004F |
|
180 |
172 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
19 |
12 |
$0.00 |
| 90661 |
|
102 |
93 |
$0.00 |
| 2028F |
|
76 |
68 |
$0.00 |
| 96160 |
|
28 |
28 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
34 |
24 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
52 |
30 |
$0.00 |
| 99072 |
|
33 |
17 |
$0.00 |
| 2010F |
|
2,974 |
2,818 |
$0.00 |
| 1126F |
|
2,921 |
2,523 |
$0.00 |
| 36416 |
|
799 |
719 |
$0.00 |
| 1036F |
|
1,915 |
1,256 |
$0.00 |
| 1000F |
|
4,786 |
3,800 |
$0.00 |
| 2000F |
|
2,060 |
1,967 |
$0.00 |
| 2001F |
|
2,841 |
2,712 |
$0.00 |
| 1170F |
|
394 |
381 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
321 |
208 |
$0.00 |
| 3079F |
|
590 |
460 |
$0.00 |
| 3008F |
|
2,848 |
2,719 |
$0.00 |
| 99441 |
|
704 |
523 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
44 |
24 |
$0.00 |
| 1125F |
|
1,533 |
988 |
$0.00 |
| 3080F |
|
81 |
49 |
$0.00 |
| 3075F |
|
40 |
25 |
$0.00 |
| 4010F |
|
80 |
64 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
16 |
$0.00 |
| 99443 |
|
224 |
192 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$0.00 |
| 4000F |
|
28 |
12 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 1034F |
|
41 |
26 |
$0.00 |
| 1111F |
|
52 |
30 |
$0.00 |
| 99406 |
|
29 |
13 |
$0.00 |