| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,105 |
6,757 |
$446K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,260 |
2,142 |
$201K |
| 80305 |
|
799 |
749 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
36 |
$4K |
| 96127 |
|
660 |
642 |
$2K |
| 93000 |
|
202 |
201 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
30 |
$588.32 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
27 |
$402.50 |
| 99051 |
|
27 |
24 |
$212.38 |
| 3079F |
|
263 |
255 |
$5.46 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
490 |
460 |
$5.46 |
| 3075F |
|
126 |
121 |
$5.46 |
| 97802 |
|
13 |
13 |
$5.00 |
| 3078F |
|
950 |
885 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
105 |
101 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
266 |
250 |
$0.00 |
| 3074F |
|
1,224 |
1,139 |
$0.00 |
| 3080F |
|
15 |
15 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |