| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,828 |
4,432 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,304 |
1,243 |
$64K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
211 |
208 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
321 |
321 |
$15K |
| 99385 |
|
142 |
142 |
$15K |
| 97802 |
|
280 |
279 |
$7K |
| 97803 |
|
318 |
317 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
420 |
397 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
537 |
503 |
$3K |
| 90688 |
|
253 |
250 |
$3K |
| 99000 |
|
861 |
832 |
$3K |
| 81003 |
|
1,564 |
1,498 |
$3K |
| 99386 |
|
45 |
45 |
$2K |
| 99215 |
Prolong outpt/office vis |
45 |
45 |
$2K |
| 92551 |
|
259 |
257 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
105 |
105 |
$2K |
| 82962 |
|
999 |
940 |
$2K |
| 93000 |
|
73 |
72 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
30 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$894.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
50 |
$882.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
57 |
57 |
$855.00 |
| 99173 |
|
252 |
247 |
$638.70 |
| 81025 |
|
145 |
140 |
$313.01 |
| 90686 |
|
78 |
77 |
$125.00 |
| 3008F |
|
16 |
12 |
$20.68 |
| 3079F |
|
56 |
52 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
37 |
35 |
$0.00 |
| 3074F |
|
124 |
114 |
$0.00 |
| 3080F |
|
48 |
44 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 3077F |
|
124 |
117 |
$0.00 |
| 90649 |
|
31 |
30 |
$0.00 |
| 3078F |
|
94 |
89 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
40 |
38 |
$0.00 |