| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,835 |
8,324 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,149 |
1,130 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
253 |
252 |
$963.17 |
| 99215 |
Prolong outpt/office vis |
422 |
413 |
$523.14 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
38 |
38 |
$395.00 |
| 3075F |
|
591 |
582 |
$202.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
157 |
157 |
$159.08 |
| 1159F |
|
4,291 |
4,068 |
$125.00 |
| 1160F |
|
4,853 |
4,591 |
$101.00 |
| 3074F |
|
3,940 |
3,762 |
$101.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
483 |
459 |
$54.30 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
44 |
44 |
$0.00 |
| 3078F |
|
4,123 |
3,935 |
$0.00 |
| 3077F |
|
356 |
343 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
210 |
210 |
$0.00 |
| 99408 |
|
58 |
58 |
$0.00 |
| 90658 |
|
16 |
16 |
$0.00 |
| 3079F |
|
772 |
748 |
$0.00 |
| G0499 |
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
58 |
58 |
$0.00 |
| 96127 |
|
29 |
29 |
$0.00 |
| 1170F |
|
25 |
25 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |