| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,490 |
2,926 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
645 |
564 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
542 |
398 |
$10K |
| 99406 |
|
1,913 |
1,506 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
75 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
94 |
69 |
$4K |
| 80305 |
|
383 |
337 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$722.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
40 |
$254.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
26 |
$176.63 |
| 99497 |
|
1,038 |
791 |
$79.37 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
87 |
74 |
$54.26 |
| 97802 |
|
445 |
388 |
$2.54 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
312 |
246 |
$0.00 |
| 1036F |
|
2,435 |
2,025 |
$0.00 |
| 3074F |
|
3,868 |
3,152 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,236 |
1,067 |
$0.00 |
| 1125F |
|
1,681 |
1,330 |
$0.00 |
| 3075F |
|
160 |
147 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
958 |
755 |
$0.00 |
| 1126F |
|
1,603 |
1,386 |
$0.00 |
| 1000F |
|
3,703 |
3,047 |
$0.00 |
| 3079F |
|
948 |
830 |
$0.00 |
| 3008F |
|
253 |
238 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
156 |
135 |
$0.00 |
| 1111F |
|
109 |
83 |
$0.00 |
| 1170F |
|
20 |
20 |
$0.00 |
| 3288F |
|
72 |
66 |
$0.00 |
| 1160F |
|
3,615 |
2,970 |
$0.00 |
| 1159F |
|
3,645 |
2,994 |
$0.00 |
| 3078F |
|
2,850 |
2,352 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,541 |
2,064 |
$0.00 |
| 1158F |
|
935 |
687 |
$0.00 |
| 2028F |
|
134 |
114 |
$0.00 |
| 83037 |
|
17 |
13 |
$0.00 |