| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,031 |
6,183 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,854 |
1,509 |
$48K |
| 99072 |
|
6,285 |
5,238 |
$19K |
| 97802 |
|
140 |
130 |
$1K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
174 |
159 |
$840.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$240.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$62.72 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
241 |
212 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
47 |
43 |
$0.00 |
| 1036F |
|
81 |
70 |
$0.00 |
| 3074F |
|
49 |
40 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
12 |
12 |
$0.00 |
| 3725F |
|
83 |
81 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |