| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,088 |
3,003 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,699 |
1,616 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
199 |
188 |
$157.16 |
| 1126F |
|
2,040 |
1,980 |
$0.00 |
| 3080F |
|
415 |
406 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
221 |
217 |
$0.00 |
| 3008F |
|
4,629 |
4,395 |
$0.00 |
| 3075F |
|
402 |
401 |
$0.00 |
| 3074F |
|
1,697 |
1,650 |
$0.00 |
| 3079F |
|
1,156 |
1,146 |
$0.00 |
| 1125F |
|
3,276 |
3,084 |
$0.00 |
| 3044F |
|
70 |
70 |
$0.00 |
| A9270 |
Non-covered item or service |
623 |
566 |
$0.00 |
| G0102 |
Prostate cancer screening; digital rectal examination |
14 |
14 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
32 |
32 |
$0.00 |
| 1160F |
|
5,577 |
5,261 |
$0.00 |
| 99499 |
|
2,383 |
2,244 |
$0.00 |
| 3077F |
|
861 |
843 |
$0.00 |
| 1159F |
|
5,591 |
5,274 |
$0.00 |
| 3078F |
|
1,336 |
1,302 |
$0.00 |
| 0521F |
|
629 |
567 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$0.00 |