| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
205 |
190 |
$115.00 |
| 1170F |
|
231 |
218 |
$0.01 |
| 3008F |
|
253 |
243 |
$0.00 |
| 3074F |
|
136 |
130 |
$0.00 |
| 4010F |
|
14 |
14 |
$0.00 |
| 99000 |
|
136 |
133 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
136 |
133 |
$0.00 |
| 93000 |
|
25 |
25 |
$0.00 |
| 1036F |
|
241 |
226 |
$0.00 |
| 96127 |
|
42 |
42 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 1125F |
|
53 |
51 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
40 |
$0.00 |
| 3014F |
|
49 |
45 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |
| 92552 |
|
33 |
33 |
$0.00 |
| 4013F |
|
19 |
18 |
$0.00 |
| 3015F |
|
75 |
71 |
$0.00 |
| 1159F |
|
205 |
199 |
$0.00 |
| 1158F |
|
20 |
20 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 81003 |
|
57 |
57 |
$0.00 |
| 3078F |
|
148 |
142 |
$0.00 |
| 1160F |
|
220 |
213 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
200 |
192 |
$0.00 |
| 99497 |
|
20 |
20 |
$0.00 |
| 82948 |
|
28 |
27 |
$0.00 |
| 99173 |
|
46 |
46 |
$0.00 |
| 3725F |
|
43 |
43 |
$0.00 |