| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,566 |
6,865 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,166 |
2,097 |
$8K |
| 3008F |
|
2,295 |
2,194 |
$5K |
| 3074F |
|
1,364 |
1,341 |
$4K |
| 3078F |
|
1,070 |
1,049 |
$3K |
| 3079F |
|
685 |
676 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
266 |
266 |
$2K |
| 93000 |
|
437 |
436 |
$2K |
| 3075F |
|
315 |
308 |
$960.00 |
| 99205 |
Prolong outpt/office vis |
158 |
158 |
$844.29 |
| 3080F |
|
309 |
279 |
$625.50 |
| 3077F |
|
335 |
302 |
$590.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
186 |
186 |
$290.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
55 |
$124.17 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
689 |
689 |
$80.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$74.24 |
| 90658 |
|
13 |
13 |
$67.44 |
| 90688 |
|
14 |
14 |
$44.60 |
| 99442 |
|
32 |
32 |
$30.00 |
| 99441 |
|
1,295 |
1,206 |
$25.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
17 |
17 |
$20.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$10.00 |
| 99386 |
|
51 |
51 |
$0.00 |
| 99385 |
|
53 |
53 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
16 |
$0.00 |