| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,811 |
8,175 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,042 |
1,034 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,003 |
1,980 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,243 |
1,238 |
$5K |
| 99442 |
|
2,009 |
1,871 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
148 |
140 |
$2K |
| 92552 |
|
354 |
350 |
$1K |
| 90688 |
|
152 |
150 |
$770.25 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
139 |
138 |
$600.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
130 |
$500.00 |
| 1220F |
|
1,844 |
1,827 |
$414.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
484 |
478 |
$410.00 |
| 90461 |
|
105 |
105 |
$375.00 |
| 90685 |
|
23 |
17 |
$208.30 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,014 |
1,010 |
$173.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
368 |
359 |
$160.00 |
| 90686 |
|
24 |
20 |
$145.64 |
| 3008F |
|
1,612 |
1,604 |
$54.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
316 |
313 |
$26.60 |
| 97802 |
|
208 |
208 |
$20.00 |
| 97803 |
|
572 |
571 |
$1.00 |
| 3079F |
|
118 |
114 |
$0.00 |
| 3074F |
|
303 |
299 |
$0.00 |
| 99441 |
|
1,422 |
1,297 |
$0.00 |
| 99406 |
|
51 |
51 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
400 |
400 |
$0.00 |
| 3075F |
|
32 |
32 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
119 |
119 |
$0.00 |
| 90658 |
|
13 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
32 |
32 |
$0.00 |
| 3078F |
|
241 |
240 |
$0.00 |
| 3725F |
|
13 |
13 |
$0.00 |
| 99397 |
|
13 |
13 |
$0.00 |