| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,075 |
5,614 |
$601K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
403 |
394 |
$70K |
| 99490 |
Ccm add 20min |
6,573 |
6,507 |
$32K |
| 99401 |
|
738 |
689 |
$28K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
712 |
660 |
$19K |
| 99386 |
|
114 |
114 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
118 |
111 |
$15K |
| 99454 |
|
1,142 |
1,139 |
$10K |
| 99457 |
|
1,340 |
1,338 |
$8K |
| 99385 |
|
52 |
51 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
42 |
$6K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
139 |
132 |
$5K |
| 90694 |
|
36 |
36 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$2K |
| 99408 |
|
29 |
29 |
$1K |
| 99350 |
Prolong home eval add 15m |
480 |
394 |
$1K |
| 96127 |
|
166 |
165 |
$790.89 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
219 |
214 |
$739.98 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$630.00 |
| 87110 |
|
26 |
26 |
$509.60 |
| 99497 |
|
25 |
25 |
$338.74 |
| 99406 |
|
17 |
15 |
$213.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
37 |
$169.48 |
| 82270 |
|
13 |
13 |
$56.94 |
| 99458 |
|
12 |
12 |
$39.52 |
| 99453 |
|
14 |
14 |
$7.98 |
| 1220F |
|
315 |
314 |
$0.00 |
| 1125F |
|
172 |
172 |
$0.00 |
| 3074F |
|
452 |
448 |
$0.00 |
| 3014F |
|
157 |
156 |
$0.00 |
| 3017F |
|
32 |
32 |
$0.00 |
| 1170F |
|
38 |
38 |
$0.00 |
| 1126F |
|
242 |
241 |
$0.00 |
| 3008F |
|
372 |
368 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
24 |
22 |
$0.00 |
| 3044F |
|
25 |
25 |
$0.00 |
| 3078F |
|
445 |
441 |
$0.00 |
| 1160F |
|
424 |
424 |
$0.00 |
| 4274F |
|
277 |
276 |
$0.00 |
| 1159F |
|
125 |
125 |
$0.00 |
| 1158F |
|
106 |
105 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
59 |
59 |
$0.00 |