| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,096 |
5,739 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,200 |
2,199 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
568 |
560 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,012 |
1,012 |
$6K |
| 3078F |
|
5,323 |
5,095 |
$5K |
| 99406 |
|
358 |
356 |
$4K |
| H0049 |
Alcohol and/or drug screening |
4,590 |
4,584 |
$4K |
| 3074F |
|
2,914 |
2,786 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
4,569 |
4,561 |
$3K |
| 3079F |
|
2,487 |
2,423 |
$2K |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
1,431 |
1,429 |
$2K |
| 3075F |
|
1,381 |
1,349 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
5,976 |
5,929 |
$957.46 |
| 3077F |
|
605 |
577 |
$647.50 |
| 80061 |
Lipid panel |
312 |
312 |
$639.36 |
| 90658 |
|
543 |
542 |
$535.82 |
| 3080F |
|
374 |
362 |
$425.00 |
| 94760 |
|
2,090 |
1,893 |
$296.24 |
| 99385 |
|
80 |
79 |
$256.75 |
| 82962 |
|
191 |
183 |
$145.10 |
| 1159F |
|
712 |
683 |
$135.03 |
| 99386 |
|
38 |
38 |
$131.63 |
| 1160F |
|
711 |
682 |
$90.03 |
| 1126F |
|
253 |
246 |
$60.30 |
| 36416 |
|
505 |
491 |
$50.00 |
| 3046F |
|
111 |
102 |
$20.00 |
| 36410 |
|
13 |
13 |
$17.90 |
| 1125F |
|
41 |
41 |
$10.03 |
| 86701 |
|
80 |
80 |
$0.01 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,936 |
3,935 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
4,030 |
4,027 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
312 |
312 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
7,475 |
7,103 |
$0.00 |
| A4663 |
Blood pressure cuff only |
9,220 |
8,609 |
$0.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
457 |
451 |
$0.00 |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
5,595 |
5,133 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,006 |
2,826 |
$0.00 |
| 3725F |
|
4,572 |
4,565 |
$0.00 |
| 3028F |
|
5,589 |
5,133 |
$0.00 |
| 2028F |
|
1,292 |
1,239 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,435 |
1,390 |
$0.00 |
| 1158F |
|
64 |
64 |
$0.00 |
| A4245 |
Alcohol wipes, per box |
5,779 |
5,694 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
164 |
160 |
$0.00 |
| 3051F |
|
40 |
40 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
506 |
473 |
$0.00 |
| 3288F |
|
68 |
68 |
$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) |
79 |
78 |
$0.00 |
| 3015F |
|
59 |
58 |
$0.00 |
| A4927 |
Gloves, non-sterile, per 100 |
109 |
103 |
$0.00 |
| A4259 |
Lancets, per box of 100 |
99 |
94 |
$0.00 |
| 99408 |
|
53 |
53 |
$0.00 |
| 80076 |
|
400 |
400 |
$0.00 |
| 3511F |
|
124 |
123 |
$0.00 |
| 99397 |
|
12 |
12 |
$0.00 |
| 99401 |
|
16 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
417 |
417 |
$0.00 |
| 3061F |
|
732 |
704 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
7,886 |
7,469 |
$0.00 |
| 2000F |
|
9,735 |
9,068 |
$0.00 |
| 82950 |
|
1,175 |
1,137 |
$0.00 |
| 1036F |
|
4,308 |
4,302 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,630 |
3,628 |
$0.00 |
| 3292F |
|
2,752 |
2,742 |
$0.00 |
| 2001F |
|
9,661 |
9,000 |
$0.00 |
| 1000F |
|
2,098 |
2,089 |
$0.00 |
| 2010F |
|
8,984 |
8,407 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,860 |
3,668 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,556 |
2,416 |
$0.00 |
| 3011F |
|
2,473 |
2,374 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
839 |
805 |
$0.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
113 |
107 |
$0.00 |
| 3008F |
|
9,419 |
8,781 |
$0.00 |
| A4930 |
Gloves, sterile, per pair |
5,691 |
5,621 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
177 |
166 |
$0.00 |
| A4670 |
Automatic blood pressure monitor |
9,335 |
8,726 |
$0.00 |
| 80069 |
|
388 |
388 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
85 |
85 |
$0.00 |
| 3048F |
|
189 |
183 |
$0.00 |
| 80050 |
General health panel |
372 |
372 |
$0.00 |
| 99429 |
|
284 |
269 |
$0.00 |
| E0607 |
Home blood glucose monitor |
90 |
84 |
$0.00 |
| 86592 |
|
306 |
306 |
$0.00 |
| 3049F |
|
43 |
39 |
$0.00 |
| 87800 |
|
105 |
105 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
487 |
482 |
$0.00 |
| 1170F |
|
64 |
64 |
$0.00 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
76 |
76 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
107 |
105 |
$0.00 |
| 3514F |
|
94 |
91 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
35 |
35 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| A4258 |
Spring-powered device for lancet, each |
112 |
106 |
$0.00 |