| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,528 |
6,241 |
$320K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,983 |
4,785 |
$166K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
735 |
733 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
418 |
418 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
599 |
597 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
235 |
235 |
$9K |
| 99349 |
|
61 |
61 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
234 |
232 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
94 |
94 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
428 |
428 |
$5K |
| 87428 |
|
97 |
96 |
$4K |
| 99348 |
|
53 |
52 |
$3K |
| 92551 |
|
296 |
296 |
$2K |
| 99173 |
|
440 |
440 |
$1K |
| 90686 |
|
391 |
380 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
43 |
42 |
$990.58 |
| 99384 |
|
14 |
14 |
$539.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$522.50 |
| 99051 |
|
16 |
16 |
$355.00 |
| 96127 |
|
81 |
81 |
$44.80 |
| 3077F |
|
342 |
337 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
266 |
262 |
$0.00 |
| 3078F |
|
2,228 |
2,163 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,084 |
2,964 |
$0.00 |
| 96160 |
|
322 |
322 |
$0.00 |
| G9510 |
Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq- 9 or phq-9m score was not assessed or is greater than or equal to 5 |
32 |
31 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 1111F |
|
4,068 |
3,908 |
$0.00 |
| 3074F |
|
2,757 |
2,667 |
$0.00 |
| 3079F |
|
1,405 |
1,381 |
$0.00 |
| 3080F |
|
223 |
220 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,842 |
3,693 |
$0.00 |
| 3075F |
|
778 |
769 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
870 |
849 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
42 |
41 |
$0.00 |
| 90619 |
|
71 |
71 |
$0.00 |
| 90656 |
|
91 |
91 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |