| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,426 |
5,775 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
403 |
403 |
$261.15 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
895 |
826 |
$218.67 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
187 |
160 |
$87.22 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
146 |
141 |
$58.17 |
| 99385 |
|
202 |
201 |
$53.23 |
| 99422 |
|
627 |
594 |
$36.17 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
86 |
$31.17 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
114 |
109 |
$29.18 |
| 99421 |
|
375 |
344 |
$26.56 |
| 99499 |
|
108 |
98 |
$17.00 |
| 99383 |
|
37 |
37 |
$12.09 |
| 99384 |
|
25 |
25 |
$11.04 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
62 |
$7.08 |
| 3074F |
|
6,218 |
5,394 |
$6.50 |
| 99386 |
|
25 |
25 |
$6.08 |
| 3078F |
|
4,867 |
4,232 |
$6.00 |
| 99397 |
|
33 |
33 |
$5.04 |
| 3079F |
|
2,138 |
1,948 |
$4.50 |
| 3075F |
|
671 |
627 |
$3.50 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,389 |
1,211 |
$2.00 |
| 3077F |
|
458 |
427 |
$1.50 |
| G8421 |
Bmi not documented and no reason is given |
303 |
263 |
$1.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,297 |
1,160 |
$1.00 |
| 3080F |
|
154 |
145 |
$0.50 |
| 93000 |
|
133 |
127 |
$0.34 |
| 94010 |
|
41 |
39 |
$0.06 |
| 81002 |
|
80 |
78 |
$0.04 |
| 99071 |
|
8,101 |
6,937 |
$0.00 |
| 1160F |
|
3,924 |
3,492 |
$0.00 |
| 1159F |
|
6,815 |
5,926 |
$0.00 |
| 99080 |
|
900 |
813 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90633 |
|
50 |
49 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
733 |
655 |
$0.00 |
| 94760 |
|
1,432 |
1,153 |
$0.00 |
| 3044F |
|
103 |
99 |
$0.00 |
| 90688 |
|
120 |
120 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
33 |
27 |
$0.00 |
| 90651 |
|
29 |
27 |
$0.00 |
| 90686 |
|
32 |
23 |
$0.00 |
| 1170F |
|
26 |
26 |
$0.00 |
| 1126F |
|
14 |
14 |
$0.00 |