| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,788 |
1,807 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
947 |
726 |
$54K |
| 0500F |
|
106 |
84 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72 |
64 |
$5K |
| 96127 |
|
237 |
138 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
27 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
42 |
$2K |
| 96160 |
|
86 |
50 |
$1K |
| 0503F |
|
23 |
13 |
$1K |
| 59025 |
Fetal non-stress test |
40 |
26 |
$1K |
| 76801 |
|
14 |
13 |
$790.90 |
| 81025 |
|
151 |
139 |
$690.03 |
| 90686 |
|
35 |
32 |
$666.81 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$117.72 |
| 3078F |
|
213 |
134 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
216 |
135 |
$0.00 |
| G9357 |
Post-partum screenings, evaluations and education performed |
26 |
24 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
36 |
21 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
213 |
134 |
$0.00 |
| 1036F |
|
62 |
34 |
$0.00 |
| 3351F |
|
55 |
32 |
$0.00 |
| 3074F |
|
216 |
135 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
121 |
63 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
28 |
$0.00 |
| 1220F |
|
98 |
62 |
$0.00 |