| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,097 |
10,569 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,111 |
3,037 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
552 |
549 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
297 |
297 |
$13K |
| 90682 |
|
148 |
148 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
473 |
472 |
$4K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
67 |
67 |
$3K |
| 90688 |
|
121 |
121 |
$3K |
| 90662 |
|
288 |
287 |
$3K |
| 99386 |
|
36 |
36 |
$2K |
| 99454 |
|
70 |
60 |
$2K |
| 99457 |
|
70 |
60 |
$1K |
| 90658 |
|
45 |
45 |
$1K |
| 99385 |
|
13 |
13 |
$748.86 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
39 |
$579.20 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
19 |
$0.12 |
| 3074F |
|
152 |
152 |
$0.00 |
| 3075F |
|
78 |
77 |
$0.00 |
| 3044F |
|
351 |
347 |
$0.00 |
| 3079F |
|
135 |
134 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |
| 3078F |
|
330 |
328 |
$0.00 |
| 3046F |
|
326 |
311 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
15 |
$0.00 |