| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,099 |
14,735 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,334 |
6,107 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,027 |
1,026 |
$21K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,696 |
3,683 |
$7K |
| 97802 |
|
3,635 |
3,623 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
909 |
906 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,940 |
1,935 |
$3K |
| 99000 |
|
3,278 |
3,251 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,164 |
1,159 |
$1K |
| 90674 |
|
252 |
252 |
$925.87 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,543 |
2,490 |
$720.79 |
| 96156 |
|
534 |
532 |
$517.53 |
| 96160 |
|
2,821 |
2,814 |
$252.33 |
| 81002 |
|
2,311 |
2,307 |
$191.04 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
59 |
$180.56 |
| 90658 |
|
17 |
17 |
$57.24 |
| 3074F |
|
1,668 |
1,658 |
$48.20 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
55 |
55 |
$24.00 |
| 1220F |
|
1,702 |
1,683 |
$21.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
78 |
$20.07 |
| 88141 |
|
700 |
698 |
$10.42 |
| 3078F |
|
1,445 |
1,433 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |
| 1159F |
|
13 |
13 |
$0.00 |
| 1158F |
|
12 |
12 |
$0.00 |
| 99188 |
|
42 |
42 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |
| 3079F |
|
25 |
25 |
$0.00 |
| 3075F |
|
127 |
126 |
$0.00 |
| 3008F |
|
161 |
161 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |