| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,864 |
8,001 |
$543K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,565 |
6,819 |
$540K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
801 |
792 |
$70K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
820 |
811 |
$68K |
| 99401 |
|
2,023 |
1,904 |
$44K |
| 93000 |
|
2,246 |
2,221 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,086 |
1,074 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
342 |
328 |
$12K |
| 90756 |
|
406 |
402 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
112 |
109 |
$8K |
| 3074F |
|
4,513 |
3,949 |
$7K |
| 3078F |
|
3,961 |
3,470 |
$5K |
| 90688 |
|
213 |
213 |
$4K |
| 90674 |
|
174 |
171 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
197 |
158 |
$3K |
| 3079F |
|
1,989 |
1,850 |
$3K |
| 99442 |
|
52 |
51 |
$3K |
| 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 |
138 |
112 |
$2K |
| 90658 |
|
110 |
109 |
$2K |
| 90686 |
|
101 |
100 |
$2K |
| 3075F |
|
1,273 |
1,203 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
5,322 |
5,078 |
$2K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
147 |
141 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
307 |
286 |
$1K |
| 3080F |
|
864 |
812 |
$1K |
| 3077F |
|
1,060 |
994 |
$942.50 |
| 99490 |
Ccm add 20min |
65 |
64 |
$765.65 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
186 |
172 |
$714.01 |
| 99439 |
|
38 |
38 |
$406.83 |
| 90653 |
|
15 |
15 |
$178.59 |
| 3044F |
|
1,620 |
1,531 |
$160.00 |
| 1159F |
|
933 |
883 |
$146.70 |
| 3051F |
|
53 |
50 |
$40.00 |
| 1160F |
|
420 |
405 |
$35.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
30 |
12 |
$29.68 |
| 86695 |
|
48 |
46 |
$26.84 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,049 |
1,043 |
$0.61 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,392 |
1,362 |
$0.07 |
| 3008F |
|
923 |
841 |
$0.01 |
| 3725F |
|
1,557 |
1,522 |
$0.00 |
| 3050F |
|
74 |
69 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,437 |
3,904 |
$0.00 |
| 2028F |
|
2,354 |
2,200 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
1,129 |
947 |
$0.00 |
| 4013F |
|
54 |
50 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
43 |
42 |
$0.00 |
| G9796 |
Patient is currently on a high intensity statin therapy |
115 |
109 |
$0.00 |
| 83721 |
|
80 |
73 |
$0.00 |
| 1036F |
|
1,533 |
1,505 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
785 |
669 |
$0.00 |
| 99429 |
|
82 |
72 |
$0.00 |
| 4037F |
|
148 |
148 |
$0.00 |
| 3049F |
|
89 |
86 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
12 |
12 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
56 |
53 |
$0.00 |