| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,381 |
3,635 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,598 |
2,157 |
$68K |
| 3074F |
|
3,475 |
2,946 |
$16K |
| 1159F |
|
6,509 |
5,391 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
110 |
105 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
142 |
129 |
$8K |
| 3077F |
|
1,090 |
905 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
50 |
$3K |
| 3075F |
|
711 |
633 |
$3K |
| 81003 |
|
861 |
717 |
$880.39 |
| 3008F |
|
7,953 |
6,358 |
$805.05 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
577 |
481 |
$749.81 |
| 1170F |
|
6,941 |
5,608 |
$393.50 |
| 81025 |
|
147 |
127 |
$297.19 |
| 96127 |
|
300 |
200 |
$196.13 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$192.36 |
| 99401 |
|
60 |
55 |
$166.96 |
| 3078F |
|
3,012 |
2,454 |
$106.82 |
| 99407 |
|
93 |
75 |
$68.62 |
| 3079F |
|
1,938 |
1,660 |
$46.01 |
| 36415 |
Collection of venous blood by venipuncture |
82 |
68 |
$40.14 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
15 |
12 |
$25.18 |
| 1160F |
|
6,505 |
5,386 |
$0.01 |
| 1005F |
|
706 |
571 |
$0.00 |
| 1126F |
|
3,970 |
3,277 |
$0.00 |
| 1031F |
|
684 |
577 |
$0.00 |
| 3080F |
|
470 |
394 |
$0.00 |
| 1125F |
|
3,430 |
2,893 |
$0.00 |
| 4010F |
|
39 |
37 |
$0.00 |
| 1111F |
|
58 |
53 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
295 |
258 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
4,113 |
2,974 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
28 |
24 |
$0.00 |
| 1158F |
|
524 |
456 |
$0.00 |
| 4013F |
|
30 |
28 |
$0.00 |
| 1124F |
|
134 |
87 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
287 |
251 |
$0.00 |