| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,533 |
1,470 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
242 |
239 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
175 |
175 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
140 |
138 |
$13K |
| 96127 |
|
408 |
402 |
$1K |
| 3074F |
|
1,244 |
1,200 |
$0.28 |
| 3078F |
|
877 |
849 |
$0.21 |
| 3079F |
|
819 |
797 |
$0.09 |
| 3075F |
|
283 |
279 |
$0.02 |
| 1160F |
|
51 |
50 |
$0.01 |
| 1159F |
|
51 |
50 |
$0.01 |
| 3077F |
|
94 |
92 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
123 |
119 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
863 |
830 |
$0.00 |
| 3080F |
|
26 |
25 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
386 |
373 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
25 |
24 |
$0.00 |