| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,342 |
3,781 |
$200K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,660 |
2,158 |
$137K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
82 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
59 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
133 |
121 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
12 |
$1K |
| 90674 |
|
29 |
24 |
$405.69 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$242.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$193.32 |
| 3074F |
|
42 |
38 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
27 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
45 |
43 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
51 |
49 |
$0.00 |
| 3079F |
|
18 |
13 |
$0.00 |
| 99442 |
|
17 |
14 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
18 |
17 |
$0.00 |