| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,972 |
4,467 |
$117K |
| 93990 |
|
1,472 |
1,182 |
$41K |
| 93926 |
|
1,026 |
882 |
$30K |
| 99152 |
|
1,263 |
1,052 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
420 |
412 |
$26K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,279 |
1,092 |
$22K |
| 93971 |
|
806 |
722 |
$22K |
| 76937 |
|
567 |
459 |
$15K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
708 |
602 |
$13K |
| 93925 |
|
115 |
107 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
618 |
566 |
$10K |
| 93970 |
|
49 |
44 |
$8K |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
751 |
714 |
$7K |
| 93880 |
|
68 |
63 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
135 |
128 |
$4K |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
415 |
398 |
$4K |
| 99215 |
Prolong outpt/office vis |
123 |
110 |
$1K |
| 36140 |
|
17 |
16 |
$400.71 |
| 93978 |
|
12 |
12 |
$380.73 |
| 75710 |
|
44 |
37 |
$0.00 |
| 36200 |
|
14 |
12 |
$0.00 |
| 75625 |
|
14 |
13 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
74 |
59 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
567 |
472 |
$-48467.35 |