| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,105 |
1,776 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,291 |
1,123 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
586 |
537 |
$16K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
94 |
79 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
106 |
103 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
60 |
$6K |
| 93000 |
|
244 |
219 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
39 |
37 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
201 |
93 |
$4K |
| 72170 |
|
45 |
43 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
25 |
$960.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
65 |
$629.85 |
| 90688 |
|
58 |
53 |
$274.98 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,585 |
2,769 |
$0.00 |
| 3078F |
|
2,555 |
2,084 |
$0.00 |
| 90687 |
|
34 |
33 |
$0.00 |
| 90707 |
|
191 |
175 |
$0.00 |
| 90648 |
|
58 |
49 |
$0.00 |
| 3077F |
|
339 |
212 |
$0.00 |
| 90670 |
|
204 |
185 |
$0.00 |
| 90700 |
|
15 |
14 |
$0.00 |
| 90633 |
|
37 |
30 |
$0.00 |
| 3074F |
|
2,853 |
2,326 |
$0.00 |
| 90680 |
|
148 |
133 |
$0.00 |
| 3079F |
|
759 |
577 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
946 |
723 |
$0.00 |
| 3080F |
|
45 |
39 |
$0.00 |
| 90698 |
|
48 |
41 |
$0.00 |
| 3075F |
|
15 |
12 |
$0.00 |
| 90716 |
|
75 |
65 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90723 |
|
37 |
31 |
$0.00 |