| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,065 |
2,981 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,438 |
1,407 |
$7K |
| 3008F |
|
2,644 |
2,637 |
$6K |
| G9920 |
Screening performed and negative |
2,091 |
2,086 |
$4K |
| 90686 |
|
458 |
458 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
547 |
547 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
329 |
329 |
$3K |
| 92552 |
|
1,336 |
1,334 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,545 |
1,542 |
$2K |
| 86580 |
|
267 |
263 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
221 |
221 |
$617.56 |
| 93000 |
|
63 |
63 |
$287.17 |
| 85018 |
|
984 |
979 |
$227.70 |
| 90620 |
|
56 |
56 |
$225.00 |
| 81003 |
|
858 |
852 |
$191.68 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
74 |
74 |
$136.06 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$125.35 |
| 3079F |
|
25 |
25 |
$80.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
145 |
140 |
$77.48 |
| 99173 |
|
1,513 |
1,508 |
$76.53 |
| A4927 |
Gloves, non-sterile, per 100 |
2,141 |
2,119 |
$41.46 |
| 99442 |
|
133 |
131 |
$13.88 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
62 |
62 |
$0.00 |
| 99443 |
|
14 |
13 |
$0.00 |
| 90619 |
|
26 |
25 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
39 |
39 |
$0.00 |
| 4010F |
|
24 |
24 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$0.00 |
| 3725F |
|
1,648 |
1,645 |
$0.00 |
| 90649 |
|
29 |
29 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
37 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
45 |
45 |
$0.00 |