| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,132 |
1,047 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
675 |
627 |
$25K |
| 99385 |
|
117 |
116 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
203 |
201 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
86 |
85 |
$7K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
558 |
518 |
$6K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
69 |
69 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
71 |
69 |
$3K |
| 93000 |
|
193 |
191 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
46 |
46 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
113 |
102 |
$554.12 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
46 |
46 |
$434.28 |
| 99406 |
|
71 |
67 |
$336.42 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$317.21 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
186 |
186 |
$310.27 |
| 81000 |
|
339 |
322 |
$291.50 |
| 36415 |
Collection of venous blood by venipuncture |
163 |
160 |
$284.60 |
| 81025 |
|
111 |
109 |
$272.17 |
| 99000 |
|
233 |
228 |
$0.00 |
| 3008F |
|
1,400 |
1,269 |
$0.00 |
| 1111F |
|
30 |
30 |
$0.00 |
| 1220F |
|
29 |
29 |
$0.00 |
| 3011F |
|
74 |
72 |
$0.00 |
| 3079F |
|
17 |
17 |
$0.00 |
| 3049F |
|
16 |
15 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 1110F |
|
13 |
13 |
$0.00 |
| 4010F |
|
14 |
14 |
$0.00 |
| 99173 |
|
491 |
478 |
$0.00 |
| 3077F |
|
31 |
29 |
$0.00 |
| 97803 |
|
41 |
40 |
$0.00 |
| 0556F |
|
23 |
22 |
$0.00 |