| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,632 |
23,220 |
$1.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,305 |
4,159 |
$421K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,084 |
3,046 |
$246K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,422 |
1,402 |
$103K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,218 |
4,104 |
$60K |
| 90674 |
|
1,942 |
1,936 |
$58K |
| 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 |
4,382 |
4,288 |
$43K |
| H0001 |
Alcohol and/or drug assessment |
4,316 |
4,226 |
$25K |
| 90750 |
|
105 |
105 |
$18K |
| 93000 |
|
1,235 |
1,231 |
$16K |
| 90756 |
|
713 |
712 |
$16K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,262 |
5,027 |
$14K |
| 99397 |
|
177 |
177 |
$13K |
| 90746 |
|
178 |
177 |
$12K |
| 90694 |
|
236 |
236 |
$11K |
| 90732 |
|
79 |
79 |
$10K |
| 99497 |
|
329 |
329 |
$9K |
| 99051 |
|
2,836 |
2,608 |
$7K |
| 1111F |
|
1,547 |
1,467 |
$5K |
| 3074F |
|
4,034 |
3,897 |
$5K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
1,544 |
1,401 |
$5K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
700 |
664 |
$4K |
| 90653 |
|
87 |
87 |
$4K |
| 3078F |
|
2,063 |
1,972 |
$3K |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
208 |
208 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 90715 |
|
37 |
37 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
717 |
678 |
$1K |
| 90688 |
|
64 |
64 |
$963.48 |
| 3075F |
|
415 |
396 |
$716.50 |
| 36415 |
Collection of venous blood by venipuncture |
1,190 |
1,174 |
$676.11 |
| 99442 |
|
36 |
34 |
$671.60 |
| 3079F |
|
431 |
417 |
$671.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,714 |
1,672 |
$528.50 |
| 94010 |
|
17 |
16 |
$528.47 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
79 |
77 |
$499.56 |
| 3051F |
|
190 |
184 |
$422.00 |
| 3061F |
|
955 |
896 |
$368.00 |
| 3044F |
|
437 |
405 |
$288.00 |
| 3048F |
|
255 |
235 |
$216.00 |
| 82270 |
|
238 |
226 |
$191.58 |
| 3077F |
|
132 |
128 |
$191.00 |
| 3049F |
|
82 |
79 |
$176.00 |
| 1159F |
|
2,264 |
2,234 |
$158.00 |
| 88142 |
|
73 |
72 |
$136.80 |
| 1126F |
|
123 |
123 |
$83.00 |
| 1160F |
|
135 |
135 |
$78.00 |
| 1170F |
|
115 |
115 |
$78.00 |
| 3045F |
|
472 |
451 |
$40.17 |
| 3050F |
|
28 |
25 |
$40.00 |
| 3052F |
|
12 |
12 |
$32.00 |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
39 |
39 |
$30.00 |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
16 |
16 |
$20.00 |
| 1157F |
|
640 |
614 |
$16.00 |
| 2022F |
|
602 |
545 |
$0.53 |
| 3725F |
|
3,218 |
3,083 |
$0.14 |
| 1000F |
|
2,556 |
2,514 |
$0.11 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
1,011 |
996 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
269 |
257 |
$0.00 |
| 3015F |
|
687 |
641 |
$0.00 |
| 3016F |
|
2,898 |
2,851 |
$0.00 |
| 4040F |
|
97 |
97 |
$0.00 |
| 4013F |
|
856 |
808 |
$0.00 |
| 3046F |
|
27 |
24 |
$0.00 |
| 3288F |
|
148 |
148 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
166 |
159 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
283 |
275 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
680 |
664 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
63 |
58 |
$0.00 |
| 1158F |
|
83 |
83 |
$0.00 |
| 1100F |
|
28 |
28 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
13 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
12 |
12 |
$0.00 |
| 3014F |
|
892 |
832 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,672 |
4,539 |
$0.00 |
| 1036F |
|
3,706 |
3,611 |
$0.00 |
| 3017F |
|
1,524 |
1,433 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
165 |
165 |
$0.00 |
| 4086F |
|
407 |
388 |
$0.00 |
| 3292F |
|
753 |
741 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
3,337 |
3,276 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
317 |
310 |
$0.00 |
| 0551F |
|
226 |
211 |
$0.00 |
| 3060F |
|
14 |
13 |
$0.00 |
| 1123F |
|
81 |
81 |
$0.00 |
| 3072F |
|
42 |
41 |
$0.00 |
| 3008F |
|
301 |
292 |
$0.00 |
| 1101F |
|
87 |
87 |
$0.00 |