| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,099 |
3,483 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,184 |
1,857 |
$115K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,484 |
1,257 |
$109K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
200 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
269 |
267 |
$10K |
| 94760 |
|
1,358 |
1,253 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,072 |
1,058 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
183 |
173 |
$4K |
| 96156 |
|
124 |
119 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
191 |
185 |
$2K |
| 92551 |
|
166 |
165 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 90658 |
|
82 |
82 |
$738.00 |
| 81002 |
|
325 |
317 |
$515.17 |
| 85999 |
|
190 |
189 |
$487.62 |
| 99173 |
|
166 |
165 |
$442.98 |
| 81000 |
|
166 |
165 |
$373.10 |
| 90686 |
|
12 |
12 |
$271.91 |
| 86580 |
|
52 |
51 |
$118.65 |
| 90698 |
|
13 |
13 |
$117.00 |
| 90633 |
|
12 |
12 |
$108.00 |
| G9920 |
Screening performed and negative |
12 |
12 |
$87.00 |
| 96127 |
|
14 |
14 |
$86.80 |
| 99000 |
|
29 |
28 |
$76.23 |
| 96151 |
|
13 |
13 |
$45.00 |
| 80076 |
|
24 |
24 |
$33.75 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,478 |
1,365 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
668 |
641 |
$0.00 |
| 3078F |
|
1,681 |
1,575 |
$0.00 |
| 1003F |
|
2,158 |
1,992 |
$0.00 |
| 1159F |
|
3,174 |
2,868 |
$0.00 |
| 1158F |
|
587 |
565 |
$0.00 |
| 4004F |
|
1,445 |
1,348 |
$0.00 |
| 1160F |
|
2,993 |
2,700 |
$0.00 |
| 3077F |
|
16 |
15 |
$0.00 |
| 99071 |
|
37 |
35 |
$0.00 |
| 99001 |
|
152 |
146 |
$0.00 |
| 1170F |
|
2,029 |
1,861 |
$0.00 |
| 1036F |
|
2,863 |
2,604 |
$0.00 |
| 3008F |
|
2,393 |
2,220 |
$0.00 |
| 1125F |
|
938 |
861 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
133 |
129 |
$0.00 |
| 3079F |
|
163 |
156 |
$0.00 |
| 1126F |
|
2,183 |
2,023 |
$0.00 |
| 3074F |
|
1,605 |
1,503 |
$0.00 |
| 94761 |
|
572 |
533 |
$0.00 |
| 1111F |
|
116 |
94 |
$0.00 |
| 3075F |
|
240 |
223 |
$0.00 |
| 1157F |
|
71 |
66 |
$0.00 |
| 81001 |
|
29 |
29 |
$0.00 |