| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,986 |
2,750 |
$3K |
| 99460 |
|
46 |
46 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,239 |
1,168 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
820 |
788 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
26 |
$775.42 |
| 86580 |
|
18 |
18 |
$46.62 |
| 99451 |
|
142 |
133 |
$31.14 |
| 99000 |
|
1,405 |
1,360 |
$14.04 |
| 3078F |
|
495 |
454 |
$0.00 |
| G9920 |
Screening performed and negative |
423 |
418 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
106 |
105 |
$0.00 |
| 99173 |
|
961 |
957 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
199 |
198 |
$0.00 |
| 90649 |
|
14 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
212 |
212 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
157 |
152 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
84 |
84 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
98 |
97 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
74 |
$0.00 |
| 83655 |
|
47 |
47 |
$0.00 |
| 3077F |
|
398 |
381 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
30 |
$0.00 |
| 90633 |
|
59 |
59 |
$0.00 |
| 81002 |
|
86 |
84 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
221 |
221 |
$0.00 |
| 3046F |
|
14 |
14 |
$0.00 |
| 90734 |
|
39 |
39 |
$0.00 |
| 90715 |
|
20 |
20 |
$0.00 |
| 90658 |
|
57 |
57 |
$0.00 |
| 82947 |
|
13 |
13 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
18 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
16 |
16 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| 90670 |
|
30 |
30 |
$0.00 |
| 90461 |
|
48 |
48 |
$0.00 |
| 3079F |
|
251 |
244 |
$0.00 |
| 3074F |
|
357 |
328 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,246 |
1,240 |
$0.00 |
| 85018 |
|
623 |
622 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,116 |
1,110 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
126 |
126 |
$0.00 |
| 92551 |
|
257 |
257 |
$0.00 |
| 3080F |
|
124 |
122 |
$0.00 |
| 3008F |
|
1,063 |
975 |
$0.00 |
| 97802 |
|
467 |
467 |
$0.00 |
| 90651 |
|
20 |
20 |
$0.00 |
| 3075F |
|
88 |
88 |
$0.00 |
| 99385 |
|
14 |
14 |
$0.00 |
| 90686 |
|
28 |
28 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
40 |
38 |
$0.00 |
| 93000 |
|
25 |
25 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
23 |
20 |
$0.00 |