| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,217 |
1,830 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
185 |
123 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
149 |
125 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
192 |
163 |
$882.69 |
| 99385 |
|
67 |
64 |
$510.12 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$170.04 |
| 3008F |
|
1,234 |
1,091 |
$99.19 |
| 1159F |
|
1,166 |
1,006 |
$99.19 |
| S0316 |
Disease management program, follow-up/reassessment |
13 |
13 |
$70.85 |
| 3074F |
|
848 |
810 |
$56.68 |
| 1126F |
|
929 |
808 |
$42.51 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
292 |
291 |
$28.34 |
| 3077F |
|
70 |
59 |
$28.34 |
| 2010F |
|
90 |
87 |
$14.17 |
| 1000F |
|
37 |
37 |
$14.17 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
80 |
79 |
$14.17 |
| 3288F |
|
666 |
549 |
$14.17 |
| 3016F |
|
233 |
192 |
$14.17 |
| 1036F |
|
106 |
86 |
$0.00 |
| 3079F |
|
215 |
197 |
$0.00 |
| 3075F |
|
48 |
44 |
$0.00 |
| 1125F |
|
114 |
103 |
$0.00 |
| 1101F |
|
13 |
13 |
$0.00 |
| 1220F |
|
65 |
57 |
$0.00 |
| 3080F |
|
16 |
14 |
$0.00 |
| 1158F |
|
68 |
67 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
310 |
246 |
$0.00 |
| 1160F |
|
1,057 |
892 |
$0.00 |
| 3078F |
|
691 |
658 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
65 |
62 |
$0.00 |
| 4013F |
|
12 |
12 |
$0.00 |