| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,332 |
3,268 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,764 |
3,707 |
$33K |
| 99408 |
|
1,180 |
1,177 |
$3K |
| 82947 |
|
925 |
903 |
$2K |
| 90686 |
|
249 |
248 |
$831.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
76 |
73 |
$782.13 |
| 99215 |
Prolong outpt/office vis |
38 |
38 |
$646.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
557 |
550 |
$583.00 |
| 90662 |
|
18 |
17 |
$145.96 |
| 96160 |
|
99 |
96 |
$111.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
772 |
765 |
$73.00 |
| 99441 |
|
25 |
25 |
$60.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
93 |
91 |
$31.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$19.55 |
| 3074F |
|
2,610 |
2,579 |
$15.10 |
| 81000 |
|
12 |
12 |
$15.00 |
| 3008F |
|
5,536 |
5,402 |
$9.60 |
| 3078F |
|
3,545 |
3,481 |
$7.50 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
27 |
27 |
$2.90 |
| 90658 |
|
14 |
14 |
$0.00 |
| 3077F |
|
14 |
14 |
$0.00 |
| 3044F |
|
986 |
980 |
$0.00 |
| 3061F |
|
347 |
346 |
$0.00 |
| 1036F |
|
1,147 |
1,146 |
$0.00 |
| 1000F |
|
551 |
550 |
$0.00 |
| 3075F |
|
361 |
358 |
$0.00 |
| 90656 |
|
35 |
34 |
$0.00 |
| 3079F |
|
27 |
27 |
$0.00 |