| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,923 |
10,168 |
$411K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,139 |
1,856 |
$112K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,503 |
1,348 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
481 |
467 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,873 |
1,749 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
645 |
610 |
$36K |
| 93000 |
|
1,381 |
1,312 |
$15K |
| 99497 |
|
127 |
118 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
128 |
125 |
$1K |
| 96160 |
|
534 |
486 |
$538.03 |
| 3074F |
|
4,185 |
3,698 |
$452.50 |
| 3078F |
|
3,255 |
2,908 |
$355.00 |
| 3079F |
|
1,224 |
1,105 |
$142.50 |
| 99442 |
|
30 |
29 |
$46.32 |
| 3044F |
|
1,230 |
1,124 |
$32.50 |
| 3075F |
|
73 |
71 |
$10.00 |
| 4004F |
|
139 |
125 |
$2.50 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
73 |
58 |
$0.00 |
| 1170F |
|
63 |
54 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
121 |
91 |
$0.00 |
| 1111F |
|
310 |
276 |
$0.00 |
| 3017F |
|
44 |
44 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
40 |
40 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
25 |
$0.00 |
| 1101F |
|
14 |
13 |
$0.00 |
| 3048F |
|
14 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
14 |
13 |
$0.00 |
| 3061F |
|
19 |
19 |
$0.00 |
| 1036F |
|
21 |
14 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
13 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
73 |
58 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
29 |
25 |
$0.00 |