| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,360 |
1,962 |
$243K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,986 |
2,274 |
$207K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
91 |
86 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
234 |
205 |
$11K |
| 99385 |
|
85 |
75 |
$9K |
| 99386 |
|
52 |
48 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
32 |
$3K |
| 3008F |
|
4,474 |
3,444 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$2K |
| 90688 |
|
73 |
48 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
105 |
$849.66 |
| 3074F |
|
922 |
689 |
$775.00 |
| 90682 |
|
19 |
15 |
$731.76 |
| 0124A |
|
18 |
15 |
$633.54 |
| 90480 |
|
17 |
15 |
$440.00 |
| 90656 |
|
21 |
20 |
$304.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
79 |
65 |
$270.46 |
| 3075F |
|
68 |
53 |
$25.00 |
| 3078F |
|
593 |
448 |
$0.00 |
| 3077F |
|
71 |
54 |
$0.00 |
| 3079F |
|
498 |
389 |
$0.00 |
| 4037F |
|
340 |
276 |
$0.00 |
| 3080F |
|
46 |
40 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |