| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,433 |
2,664 |
$166K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,067 |
1,710 |
$132K |
| 99409 |
|
736 |
526 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
424 |
345 |
$16K |
| 80305 |
|
1,827 |
1,269 |
$14K |
| 99407 |
|
726 |
521 |
$10K |
| 99408 |
|
939 |
793 |
$10K |
| 99406 |
|
712 |
547 |
$5K |
| 96127 |
|
1,170 |
947 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| 81002 |
|
361 |
267 |
$364.72 |
| 99401 |
|
12 |
12 |
$242.58 |
| 81003 |
|
468 |
320 |
$172.43 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
38 |
$113.66 |
| 3074F |
|
516 |
471 |
$0.81 |
| 3078F |
|
567 |
518 |
$0.79 |
| 3008F |
|
112 |
106 |
$0.26 |
| 3075F |
|
190 |
176 |
$0.26 |
| 3079F |
|
79 |
73 |
$0.16 |
| 3077F |
|
31 |
27 |
$0.06 |
| 3080F |
|
31 |
28 |
$0.04 |
| 1159F |
|
91 |
91 |
$0.02 |
| 4004F |
|
437 |
310 |
$0.00 |
| 4306F |
|
714 |
488 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
159 |
121 |
$0.00 |
| 1125F |
|
41 |
39 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
18 |
13 |
$0.00 |