| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,729 |
2,692 |
$173K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,843 |
1,841 |
$167K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
353 |
350 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,505 |
1,492 |
$72K |
| 95782 |
|
24 |
24 |
$13K |
| 95806 |
|
179 |
177 |
$10K |
| 94010 |
|
321 |
317 |
$6K |
| 96127 |
|
1,550 |
1,461 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
176 |
172 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 3074F |
|
497 |
495 |
$0.06 |
| 3078F |
|
439 |
436 |
$0.04 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
363 |
359 |
$0.00 |
| 3079F |
|
45 |
43 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |