| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,364 |
1,329 |
$3K |
| 93000 |
|
96 |
95 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
134 |
$1K |
| 3008F |
|
2,502 |
2,410 |
$240.50 |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$219.31 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
68 |
$86.88 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
62 |
62 |
$35.39 |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$28.70 |
| 94760 |
|
130 |
126 |
$22.36 |
| 99442 |
|
86 |
84 |
$18.86 |
| 1159F |
|
179 |
173 |
$15.00 |
| 1160F |
|
179 |
173 |
$15.00 |
| 99406 |
|
45 |
45 |
$10.41 |
| 96127 |
|
58 |
58 |
$9.62 |
| 0521F |
|
73 |
72 |
$1.50 |
| 2014F |
|
214 |
205 |
$1.20 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
170 |
165 |
$0.30 |
| 4004F |
|
111 |
110 |
$0.30 |
| 1220F |
|
122 |
122 |
$0.00 |
| 99441 |
|
52 |
48 |
$0.00 |
| 1126F |
|
90 |
90 |
$0.00 |
| 1170F |
|
53 |
53 |
$0.00 |
| 3074F |
|
69 |
68 |
$0.00 |
| 3017F |
|
45 |
45 |
$0.00 |
| 1125F |
|
26 |
26 |
$0.00 |
| 1036F |
|
45 |
45 |
$0.00 |
| 3351F |
|
15 |
15 |
$0.00 |
| 1157F |
|
67 |
65 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 4000F |
|
14 |
14 |
$0.00 |
| 3014F |
|
35 |
35 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 3016F |
|
85 |
85 |
$0.00 |
| 1040F |
|
17 |
17 |
$0.00 |
| 3085F |
|
80 |
80 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 1158F |
|
186 |
184 |
$0.00 |
| 1100F |
|
15 |
15 |
$0.00 |
| 5015F |
|
30 |
30 |
$0.00 |
| 3015F |
|
28 |
28 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$0.00 |
| 4158F |
|
41 |
41 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
15 |
15 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
28 |
28 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 3078F |
|
15 |
15 |
$0.00 |