| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,675 |
4,637 |
$124K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,772 |
2,345 |
$60K |
| 99443 |
|
2,041 |
1,084 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
205 |
190 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
111 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
65 |
64 |
$3K |
| 3074F |
|
4,143 |
3,315 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
181 |
113 |
$1K |
| 99442 |
|
62 |
41 |
$763.46 |
| 3075F |
|
1,973 |
1,499 |
$495.82 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,246 |
2,476 |
$251.67 |
| 36415 |
Collection of venous blood by venipuncture |
168 |
158 |
$196.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$193.70 |
| 99457 |
|
15 |
12 |
$185.14 |
| 3008F |
|
7,972 |
5,855 |
$70.92 |
| 3079F |
|
1,961 |
1,603 |
$62.94 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
13 |
$43.60 |
| 3754F |
|
866 |
716 |
$37.83 |
| 0521F |
|
411 |
367 |
$37.83 |
| 3077F |
|
2,017 |
1,636 |
$0.02 |
| 3011F |
|
2,516 |
1,968 |
$0.00 |
| 3080F |
|
1,463 |
1,249 |
$0.00 |
| 88150 |
|
12 |
12 |
$0.00 |
| 0516F |
|
103 |
97 |
$0.00 |
| 3078F |
|
4,638 |
3,485 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,262 |
1,726 |
$0.00 |