| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
364 |
364 |
$93K |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
490 |
409 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
433 |
420 |
$20K |
| T1001 |
Nursing assessment / evaluation |
67 |
67 |
$14K |
| 99501 |
|
62 |
41 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
56 |
$5K |
| G9016 |
Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] |
275 |
224 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
198 |
198 |
$2K |
| A0425 |
Ground mileage, per statute mile |
808 |
586 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
82 |
71 |
$1K |
| 81025 |
|
90 |
89 |
$901.35 |
| 59025 |
Fetal non-stress test |
56 |
46 |
$806.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$285.75 |