| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,814 |
9,986 |
$1.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,698 |
4,666 |
$597K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,250 |
2,245 |
$296K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,045 |
3,451 |
$230K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
412 |
412 |
$51K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,194 |
3,176 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,678 |
1,664 |
$27K |
| 90688 |
|
1,215 |
1,214 |
$24K |
| 99051 |
|
2,948 |
2,720 |
$15K |
| 90674 |
|
139 |
139 |
$4K |
| 90658 |
|
94 |
94 |
$2K |
| 0011A |
|
43 |
43 |
$2K |
| 99406 |
|
148 |
145 |
$2K |
| 0012A |
|
40 |
40 |
$2K |
| 96127 |
|
2,688 |
2,685 |
$2K |
| 90682 |
|
25 |
25 |
$1K |
| 3074F |
|
555 |
500 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,304 |
3,298 |
$1K |
| 99408 |
|
1,346 |
1,337 |
$1K |
| 3078F |
|
517 |
465 |
$1K |
| 90686 |
|
50 |
50 |
$1K |
| 36410 |
|
28 |
28 |
$188.18 |
| 1000F |
|
602 |
599 |
$100.00 |
| 3725F |
|
623 |
619 |
$100.00 |
| 86580 |
|
15 |
12 |
$97.64 |
| 1036F |
|
429 |
426 |
$88.00 |
| 99407 |
|
13 |
12 |
$87.33 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,881 |
1,876 |
$60.00 |
| 97803 |
|
571 |
566 |
$31.41 |
| 3079F |
|
14 |
13 |
$27.50 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
246 |
246 |
$4.80 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,172 |
4,018 |
$0.00 |
| 3008F |
|
2,055 |
1,947 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
158 |
158 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
146 |
132 |
$0.00 |
| 86769 |
|
94 |
91 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
40 |
40 |
$0.00 |
| 91301 |
|
81 |
81 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,530 |
2,435 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,270 |
3,929 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
213 |
211 |
$0.00 |
| 99072 |
|
2,656 |
2,232 |
$0.00 |
| G9666 |
Patient's highest fasting or direct ldl-c laboratory test result in the measurement period or two years prior to the beginning of the measurement period is 70-189 mg/dl |
14 |
14 |
$0.00 |
| 3016F |
|
20 |
20 |
$0.00 |