| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,792 |
1,682 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
254 |
241 |
$24K |
| 99442 |
|
54 |
50 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
20 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
196 |
195 |
$1K |
| 90674 |
|
38 |
38 |
$1K |
| 90756 |
|
39 |
39 |
$1K |
| 90661 |
|
14 |
14 |
$500.38 |
| 96127 |
|
62 |
57 |
$356.22 |
| 90688 |
|
14 |
14 |
$244.93 |
| 36415 |
Collection of venous blood by venipuncture |
116 |
115 |
$141.21 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
55 |
49 |
$0.00 |
| 99000 |
|
119 |
118 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
339 |
324 |
$0.00 |
| 3008F |
|
115 |
106 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
71 |
70 |
$0.00 |