| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,355 |
2,276 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
742 |
719 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$1K |
| 93793 |
|
173 |
132 |
$427.78 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
30 |
$406.61 |
| 99441 |
|
48 |
44 |
$321.10 |
| 99397 |
|
15 |
15 |
$252.45 |
| 99442 |
|
12 |
12 |
$166.88 |
| 1036F |
|
149 |
142 |
$0.00 |
| 99429 |
|
89 |
85 |
$0.00 |
| 1170F |
|
257 |
243 |
$0.00 |
| 3079F |
|
20 |
20 |
$0.00 |
| 3017F |
|
61 |
57 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
149 |
142 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
12 |
12 |
$0.00 |
| 3074F |
|
27 |
26 |
$0.00 |
| 4010F |
|
14 |
14 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
39 |
38 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
45 |
41 |
$0.00 |
| 1159F |
|
169 |
155 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
133 |
123 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
32 |
31 |
$0.00 |
| 1160F |
|
123 |
114 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
14 |
14 |
$0.00 |
| 3078F |
|
19 |
18 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |