| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,220 |
1,689 |
$175K |
| 99199 |
Unlisted special service, procedure or report |
18,012 |
7,461 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,419 |
1,078 |
$74K |
| 99401 |
|
1,100 |
760 |
$30K |
| 99406 |
|
1,413 |
1,022 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
110 |
94 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
489 |
314 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
32 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
70 |
$3K |
| 0011A |
|
37 |
36 |
$2K |
| 0012A |
|
21 |
21 |
$1K |
| 0064A |
|
18 |
14 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
77 |
69 |
$755.19 |
| 99442 |
|
12 |
12 |
$564.00 |
| 86580 |
|
148 |
96 |
$108.40 |
| 3078F |
|
1,356 |
1,015 |
$0.00 |
| 3725F |
|
74 |
46 |
$0.00 |
| 3077F |
|
333 |
249 |
$0.00 |
| 1159F |
|
531 |
298 |
$0.00 |
| 1160F |
|
531 |
298 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
43 |
28 |
$0.00 |
| 3079F |
|
880 |
703 |
$0.00 |
| 1036F |
|
864 |
624 |
$0.00 |
| 1035F |
|
809 |
477 |
$0.00 |
| 1034F |
|
1,700 |
1,093 |
$0.00 |
| 3074F |
|
1,966 |
1,450 |
$0.00 |
| 3008F |
|
2,686 |
1,912 |
$0.00 |
| 3080F |
|
304 |
234 |
$0.00 |
| 91306 |
|
18 |
14 |
$0.00 |
| 91301 |
|
70 |
64 |
$0.00 |
| 3075F |
|
331 |
265 |
$0.00 |