| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,750 |
1,451 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,192 |
1,031 |
$44K |
| 90686 |
|
315 |
313 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
432 |
406 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
34 |
34 |
$2K |
| 99441 |
|
68 |
61 |
$992.32 |
| 90715 |
|
37 |
33 |
$919.52 |
| 97802 |
|
675 |
621 |
$899.04 |
| 90746 |
|
14 |
14 |
$871.78 |
| 99401 |
|
119 |
114 |
$669.18 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$626.23 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
289 |
263 |
$177.30 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
20 |
20 |
$142.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
14 |
$69.00 |
| 82948 |
|
268 |
247 |
$4.32 |
| 82272 |
|
65 |
65 |
$3.63 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
362 |
288 |
$0.00 |
| 3008F |
|
529 |
416 |
$0.00 |
| 4010F |
|
61 |
53 |
$0.00 |
| 81000 |
|
14 |
12 |
$0.00 |
| 2022F |
|
43 |
38 |
$0.00 |
| 1159F |
|
408 |
362 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
91 |
72 |
$0.00 |