| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,173 |
4,928 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
854 |
831 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
147 |
139 |
$10K |
| 88141 |
|
93 |
42 |
$5K |
| 81025 |
|
423 |
423 |
$1K |
| 3074F |
|
28 |
28 |
$600.00 |
| 99000 |
|
406 |
403 |
$471.94 |
| 92015 |
Determination of refractive state |
489 |
487 |
$328.26 |
| 92551 |
|
316 |
310 |
$321.89 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
126 |
125 |
$238.84 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
53 |
$176.12 |
| 90734 |
|
18 |
18 |
$27.00 |
| 90651 |
|
29 |
29 |
$18.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,706 |
1,682 |
$0.10 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,380 |
1,355 |
$0.01 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
35 |
35 |
$0.00 |
| 3077F |
|
292 |
278 |
$0.00 |
| 99173 |
|
38 |
38 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 3080F |
|
222 |
213 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| 3008F |
|
75 |
74 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
429 |
422 |
$0.00 |
| 3079F |
|
82 |
81 |
$0.00 |
| 99496 |
|
16 |
16 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |