| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,065 |
1,038 |
$16K |
| 96160 |
|
1,170 |
1,129 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
423 |
362 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
296 |
56 |
$6K |
| 99215 |
Prolong outpt/office vis |
13,914 |
11,753 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
49 |
48 |
$1K |
| 99442 |
|
3,927 |
3,690 |
$235.99 |
| 3079F |
|
201 |
188 |
$23.52 |
| 3074F |
|
367 |
352 |
$19.60 |
| 3078F |
|
280 |
265 |
$19.60 |
| 3077F |
|
17 |
17 |
$8.82 |
| 3049F |
|
428 |
391 |
$5.88 |
| 1158F |
|
30 |
29 |
$0.03 |
| 1157F |
|
115 |
112 |
$0.01 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
515 |
457 |
$0.00 |
| 3048F |
|
519 |
469 |
$0.00 |
| 1000F |
|
144 |
136 |
$0.00 |
| 3061F |
|
106 |
90 |
$0.00 |
| 1126F |
|
99 |
95 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
88 |
82 |
$0.00 |
| 3008F |
|
163 |
151 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
76 |
74 |
$0.00 |
| 1036F |
|
131 |
123 |
$0.00 |
| 1170F |
|
126 |
119 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
64 |
62 |
$0.00 |
| 3075F |
|
71 |
61 |
$0.00 |
| 1125F |
|
17 |
15 |
$0.00 |
| 3725F |
|
88 |
84 |
$0.00 |
| 1159F |
|
137 |
129 |
$0.00 |
| 3050F |
|
354 |
318 |
$0.00 |
| 0521F |
|
167 |
158 |
$0.00 |
| 1160F |
|
145 |
137 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
12 |
12 |
$0.00 |
| 4035F |
|
113 |
109 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
122 |
116 |
$0.00 |