| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,712 |
27,061 |
$740K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,591 |
9,286 |
$243K |
| 3078F |
|
22,849 |
17,302 |
$161K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,042 |
2,438 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,618 |
1,971 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,631 |
1,540 |
$65K |
| 3079F |
|
5,018 |
3,816 |
$50K |
| 1126F |
|
26,559 |
19,443 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
921 |
864 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
627 |
492 |
$21K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,849 |
5,802 |
$18K |
| 92552 |
|
2,446 |
2,082 |
$14K |
| 3080F |
|
1,825 |
1,306 |
$14K |
| 4013F |
|
1,261 |
734 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
235 |
222 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
486 |
445 |
$12K |
| 99173 |
|
2,457 |
2,003 |
$11K |
| 4010F |
|
1,283 |
803 |
$10K |
| 3074F |
|
26,693 |
20,437 |
$9K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
2,011 |
1,952 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
128 |
116 |
$7K |
| 3008F |
|
38,274 |
25,937 |
$5K |
| 4008F |
|
252 |
180 |
$3K |
| 3075F |
|
1,707 |
1,349 |
$1K |
| 99383 |
|
37 |
37 |
$1K |
| 1160F |
|
11,651 |
8,446 |
$1K |
| 90620 |
|
466 |
343 |
$732.25 |
| 99381 |
|
15 |
12 |
$670.84 |
| 99385 |
|
12 |
12 |
$518.88 |
| 36415 |
Collection of venous blood by venipuncture |
341 |
278 |
$436.54 |
| 99384 |
|
13 |
12 |
$370.77 |
| 90633 |
|
68 |
59 |
$327.57 |
| 99406 |
|
54 |
53 |
$274.91 |
| 90734 |
|
149 |
115 |
$265.71 |
| 93000 |
|
178 |
42 |
$194.09 |
| S0612 |
Annual gynecological examination, established patient |
47 |
44 |
$180.00 |
| 4011F |
|
2,111 |
1,606 |
$155.98 |
| 90632 |
|
12 |
12 |
$110.65 |
| 97803 |
|
756 |
320 |
$99.26 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
105 |
96 |
$84.33 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
14 |
$65.99 |
| 90681 |
|
13 |
13 |
$53.19 |
| 1125F |
|
625 |
538 |
$46.01 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
689 |
343 |
$28.36 |
| 90710 |
|
12 |
12 |
$14.18 |
| S9451 |
Exercise classes, non-physician provider, per session |
795 |
358 |
$0.00 |
| 90686 |
|
25 |
16 |
$0.00 |
| 90651 |
|
85 |
48 |
$0.00 |
| 3044F |
|
16 |
16 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 1159F |
|
7,661 |
5,004 |
$0.00 |
| 3077F |
|
1,625 |
1,130 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
280 |
173 |
$0.00 |
| 90649 |
|
98 |
88 |
$0.00 |