| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,721 |
12,754 |
$177K |
| 99385 |
|
1,901 |
1,060 |
$34K |
| 99386 |
|
1,007 |
588 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
512 |
271 |
$7K |
| 99397 |
|
317 |
197 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
310 |
144 |
$4K |
| 3074F |
|
11,813 |
5,740 |
$75.00 |
| 3075F |
|
3,000 |
1,591 |
$50.00 |
| 1003F |
|
14,543 |
6,247 |
$29.01 |
| 93000 |
|
367 |
194 |
$9.67 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
96 |
87 |
$2.92 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,259 |
1,076 |
$0.00 |
| 3352F |
|
1,560 |
684 |
$0.00 |
| 1111F |
|
1,003 |
417 |
$0.00 |
| 3351F |
|
1,859 |
913 |
$0.00 |
| 3008F |
|
12,762 |
6,299 |
$0.00 |
| 1034F |
|
678 |
217 |
$0.00 |
| 3079F |
|
4,780 |
2,441 |
$0.00 |
| 3080F |
|
145 |
136 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,133 |
1,415 |
$0.00 |
| 1036F |
|
421 |
190 |
$0.00 |
| 3048F |
|
1,042 |
557 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
637 |
194 |
$0.00 |
| 1000F |
|
1,634 |
649 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
68 |
67 |
$0.00 |
| 3044F |
|
212 |
107 |
$0.00 |
| 4000F |
|
665 |
214 |
$0.00 |
| 3017F |
|
299 |
97 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
44 |
40 |
$0.00 |
| 3049F |
|
521 |
333 |
$0.00 |
| 3014F |
|
638 |
303 |
$0.00 |
| 3353F |
|
60 |
57 |
$0.00 |
| 1170F |
|
53 |
53 |
$0.00 |
| 4010F |
|
157 |
145 |
$0.00 |
| 1126F |
|
33 |
33 |
$0.00 |
| 1220F |
|
12 |
12 |
$0.00 |
| 1101F |
|
38 |
34 |
$0.00 |
| 97802 |
|
47 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
17 |
$0.00 |
| 1157F |
|
13 |
13 |
$0.00 |
| 3078F |
|
10,141 |
5,083 |
$0.00 |
| 3050F |
|
897 |
374 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,463 |
2,836 |
$0.00 |
| 1160F |
|
114 |
108 |
$0.00 |
| 3077F |
|
400 |
277 |
$0.00 |
| 99499 |
|
1,342 |
1,111 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
306 |
100 |
$0.00 |
| 3725F |
|
262 |
259 |
$0.00 |
| 1159F |
|
155 |
149 |
$0.00 |
| 3288F |
|
36 |
32 |
$0.00 |
| 1158F |
|
48 |
48 |
$0.00 |
| 4013F |
|
13 |
12 |
$0.00 |
| 3088F |
|
17 |
16 |
$0.00 |
| 4274F |
|
21 |
13 |
$0.00 |