| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,796 |
5,695 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,626 |
7,431 |
$146K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
84 |
$7K |
| 96160 |
|
2,660 |
2,472 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
106 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
188 |
172 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
89 |
$2K |
| 90658 |
|
99 |
95 |
$2K |
| 90686 |
|
84 |
79 |
$1K |
| 99401 |
|
107 |
64 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$937.76 |
| 0002A |
|
62 |
50 |
$852.00 |
| 0001A |
|
74 |
66 |
$839.63 |
| 99406 |
|
30 |
24 |
$147.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
57 |
$132.38 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$101.88 |
| 96127 |
|
20 |
17 |
$26.40 |
| 1126F |
|
3,145 |
2,767 |
$0.00 |
| 3074F |
|
3,489 |
3,164 |
$0.00 |
| 1036F |
|
2,855 |
2,448 |
$0.00 |
| 3008F |
|
9,296 |
8,366 |
$0.00 |
| 3079F |
|
462 |
429 |
$0.00 |
| 1125F |
|
2,520 |
2,153 |
$0.00 |
| 2000F |
|
15 |
13 |
$0.00 |
| 3075F |
|
192 |
184 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
298 |
265 |
$0.00 |
| 3017F |
|
58 |
56 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
96 |
85 |
$0.00 |
| 3080F |
|
40 |
39 |
$0.00 |
| 1160F |
|
9,374 |
8,380 |
$0.00 |
| 3725F |
|
2,868 |
2,629 |
$0.00 |
| 3078F |
|
3,477 |
3,163 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,235 |
1,119 |
$0.00 |
| 1159F |
|
9,447 |
8,430 |
$0.00 |
| 1033F |
|
871 |
809 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 3077F |
|
140 |
134 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
20 |
12 |
$0.00 |
| 1032F |
|
164 |
153 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
54 |
50 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
119 |
108 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
24 |
16 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
19 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
12 |
$0.00 |