| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,887 |
3,644 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,354 |
3,882 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
88 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
760 |
668 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
119 |
118 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
1,772 |
1,462 |
$1K |
| G9920 |
Screening performed and negative |
616 |
610 |
$695.71 |
| 92551 |
|
66 |
66 |
$513.00 |
| 92552 |
|
80 |
80 |
$280.51 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$219.80 |
| 92015 |
Determination of refractive state |
192 |
192 |
$167.45 |
| 99000 |
|
1,119 |
1,069 |
$146.49 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
96 |
$127.65 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
686 |
679 |
$59.90 |
| 81002 |
|
581 |
555 |
$34.16 |
| 90686 |
|
32 |
31 |
$18.00 |
| 96156 |
|
367 |
367 |
$10.00 |
| 97803 |
|
182 |
181 |
$0.47 |
| 97802 |
|
12 |
12 |
$0.02 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
46 |
45 |
$0.00 |
| 99442 |
|
294 |
281 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
14 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 99441 |
|
1,226 |
1,065 |
$0.00 |
| 1036F |
|
651 |
643 |
$0.00 |
| 3008F |
|
153 |
148 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
141 |
140 |
$0.00 |
| 3353F |
|
25 |
25 |
$0.00 |
| 85018 |
|
13 |
13 |
$0.00 |
| 3351F |
|
12 |
12 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
31 |
31 |
$0.00 |