| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,206 |
8,440 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
650 |
447 |
$280.97 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
808 |
638 |
$176.13 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
543 |
426 |
$144.12 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
432 |
290 |
$116.45 |
| 99422 |
|
863 |
811 |
$46.80 |
| 99499 |
|
734 |
651 |
$25.50 |
| 99421 |
|
707 |
645 |
$24.67 |
| 99383 |
|
118 |
118 |
$23.41 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
240 |
109 |
$20.18 |
| 99384 |
|
134 |
123 |
$19.50 |
| 99382 |
|
73 |
68 |
$19.19 |
| 99385 |
|
146 |
145 |
$14.50 |
| 3074F |
|
7,055 |
5,810 |
$13.00 |
| 1159F |
|
7,122 |
5,861 |
$7.00 |
| 99386 |
|
64 |
63 |
$6.19 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$4.07 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
26 |
$4.00 |
| 3078F |
|
5,490 |
4,580 |
$3.50 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
41 |
$3.01 |
| 99071 |
|
11,926 |
9,094 |
$3.00 |
| 3079F |
|
2,231 |
1,926 |
$3.00 |
| 3077F |
|
506 |
475 |
$2.50 |
| 3075F |
|
744 |
690 |
$2.50 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,080 |
937 |
$2.00 |
| 1160F |
|
4,503 |
3,777 |
$1.50 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
827 |
723 |
$1.00 |
| 3080F |
|
518 |
482 |
$1.00 |
| 3044F |
|
428 |
404 |
$0.50 |
| 3048F |
|
300 |
284 |
$0.50 |
| 93000 |
|
293 |
286 |
$0.44 |
| 81002 |
|
63 |
62 |
$0.22 |
| 94010 |
|
18 |
18 |
$0.10 |
| 90633 |
|
14 |
14 |
$0.01 |
| G8421 |
Bmi not documented and no reason is given |
582 |
501 |
$0.00 |
| 99080 |
|
389 |
338 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,338 |
1,149 |
$0.00 |
| 90734 |
|
16 |
12 |
$0.00 |
| 90670 |
|
57 |
57 |
$0.00 |
| 3050F |
|
27 |
24 |
$0.00 |
| 94760 |
|
1,905 |
1,550 |
$0.00 |
| 3049F |
|
83 |
77 |
$0.00 |
| 90686 |
|
27 |
25 |
$0.00 |
| 90651 |
|
38 |
32 |
$0.00 |