| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,907 |
6,810 |
$627K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
512 |
472 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
273 |
264 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
295 |
272 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
127 |
125 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
37 |
$3K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,117 |
982 |
$2K |
| 3074F |
|
1,334 |
1,173 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$1K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
307 |
278 |
$720.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
29 |
$432.82 |
| 3078F |
|
904 |
799 |
$240.01 |
| 3079F |
|
749 |
670 |
$240.00 |
| 3077F |
|
239 |
214 |
$0.00 |
| 81003 |
|
30 |
28 |
$0.00 |
| 3075F |
|
335 |
302 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
1,090 |
1,015 |
$0.00 |
| 3080F |
|
223 |
205 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
16 |
12 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
15 |
12 |
$0.00 |