| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,725 |
5,812 |
$29K |
| 96160 |
|
389 |
254 |
$2K |
| 99215 |
Prolong outpt/office vis |
6,027 |
2,724 |
$1K |
| 99442 |
|
44 |
20 |
$945.33 |
| 1125F |
|
1,204 |
542 |
$0.02 |
| 3074F |
|
6,341 |
3,000 |
$0.02 |
| 1170F |
|
3,548 |
1,502 |
$0.01 |
| 3078F |
|
5,065 |
2,412 |
$0.01 |
| 1126F |
|
3,222 |
1,476 |
$0.00 |
| 4010F |
|
796 |
383 |
$0.00 |
| 96156 |
|
248 |
118 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
419 |
244 |
$0.00 |
| 3008F |
|
1,440 |
551 |
$0.00 |
| 96127 |
|
329 |
169 |
$0.00 |
| 3079F |
|
159 |
81 |
$0.00 |
| 1157F |
|
835 |
364 |
$0.00 |
| 99441 |
|
94 |
89 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
42 |
34 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
84 |
32 |
$0.00 |
| 99401 |
|
418 |
244 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
42 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,710 |
2,166 |
$0.00 |
| 99173 |
|
17 |
13 |
$0.00 |
| 0521F |
|
936 |
419 |
$0.00 |
| 1159F |
|
103 |
47 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
393 |
144 |
$0.00 |
| 3088F |
|
214 |
96 |
$0.00 |
| 1158F |
|
78 |
32 |
$0.00 |
| 3725F |
|
78 |
32 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
36 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
93 |
52 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
25 |
$0.00 |