| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,519 |
3,061 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,784 |
1,464 |
$47K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
448 |
410 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
377 |
359 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
211 |
207 |
$21K |
| 99385 |
|
248 |
228 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
535 |
463 |
$11K |
| 99386 |
|
26 |
25 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
36 |
36 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
55 |
$679.12 |
| 1159F |
|
4,224 |
3,602 |
$258.41 |
| 93000 |
|
55 |
52 |
$235.94 |
| 3725F |
|
2,466 |
2,199 |
$160.99 |
| 1125F |
|
1,251 |
1,101 |
$146.85 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
478 |
449 |
$142.47 |
| 1126F |
|
2,014 |
1,692 |
$63.24 |
| 3074F |
|
4,472 |
3,869 |
$50.00 |
| 3008F |
|
3,899 |
3,348 |
$49.03 |
| 1036F |
|
2,148 |
1,884 |
$49.03 |
| 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 |
665 |
587 |
$34.54 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,672 |
1,489 |
$18.06 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
491 |
429 |
$13.67 |
| 36415 |
Collection of venous blood by venipuncture |
684 |
628 |
$10.80 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,323 |
1,188 |
$9.87 |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
86 |
77 |
$0.03 |
| 1160F |
|
4,058 |
3,511 |
$0.01 |
| 1170F |
|
940 |
814 |
$0.01 |
| 3078F |
|
4,702 |
4,027 |
$0.00 |
| 1158F |
|
620 |
552 |
$0.00 |
| 1100F |
|
103 |
93 |
$0.00 |
| 0521F |
|
1,101 |
965 |
$0.00 |
| 1026F |
|
162 |
145 |
$0.00 |
| 4013F |
|
134 |
119 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
32 |
30 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
34 |
31 |
$0.00 |
| 4004F |
|
15 |
14 |
$0.00 |
| 3288F |
|
265 |
242 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
17 |
12 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
115 |
104 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
28 |
26 |
$0.00 |
| 4010F |
|
102 |
90 |
$0.00 |
| 1220F |
|
299 |
280 |
$0.00 |
| 3014F |
|
959 |
873 |
$0.00 |
| 1157F |
|
625 |
559 |
$0.00 |
| 3075F |
|
455 |
382 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
233 |
211 |
$0.00 |
| 1101F |
|
109 |
98 |
$0.00 |
| 99000 |
|
18 |
17 |
$0.00 |
| 2010F |
|
123 |
111 |
$0.00 |
| 3017F |
|
699 |
618 |
$0.00 |
| 3079F |
|
187 |
162 |
$0.00 |
| 1111F |
|
155 |
142 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
35 |
34 |
$0.00 |
| G2209 |
Patient refused to participate |
15 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
17 |
16 |
$0.00 |