| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,079 |
975 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,017 |
903 |
$84K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
99 |
98 |
$11K |
| 87110 |
|
530 |
529 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
38 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
74 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
46 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
294 |
288 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 0031A |
|
25 |
25 |
$991.14 |
| 92551 |
|
138 |
138 |
$874.06 |
| 99459 |
|
85 |
82 |
$665.92 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
106 |
106 |
$458.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
16 |
$386.24 |
| 99401 |
|
13 |
13 |
$275.38 |
| 99000 |
|
539 |
536 |
$32.90 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
58 |
57 |
$32.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
56 |
55 |
$32.00 |
| 3074F |
|
209 |
201 |
$25.00 |
| 3078F |
|
161 |
157 |
$25.00 |
| 3008F |
|
328 |
311 |
$15.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
190 |
186 |
$5.00 |
| 36415 |
Collection of venous blood by venipuncture |
326 |
311 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
76 |
74 |
$0.00 |
| 90686 |
|
43 |
43 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |
| 2000F |
|
133 |
127 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
12 |
12 |
$0.00 |
| 91303 |
|
16 |
16 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
16 |
16 |
$0.00 |
| 99173 |
|
188 |
186 |
$0.00 |
| 1159F |
|
15 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
110 |
105 |
$0.00 |
| 83655 |
|
25 |
25 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
36 |
34 |
$0.00 |
| 3725F |
|
14 |
14 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
12 |
12 |
$0.00 |