| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,747 |
4,821 |
$936.00 |
| 99215 |
Prolong outpt/office vis |
1,454 |
756 |
$488.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
161 |
152 |
$58.00 |
| 99385 |
|
150 |
149 |
$51.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
192 |
110 |
$46.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
110 |
$41.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
193 |
172 |
$34.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
62 |
$25.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
22 |
$22.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
150 |
137 |
$18.00 |
| 99383 |
|
24 |
24 |
$16.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$12.00 |
| 99386 |
|
57 |
57 |
$11.00 |
| 99422 |
|
1,212 |
1,047 |
$5.00 |
| 94760 |
|
1,430 |
1,195 |
$4.00 |
| 99397 |
|
14 |
14 |
$2.00 |
| 3074F |
|
5,951 |
4,632 |
$1.00 |
| 99071 |
|
8,276 |
6,337 |
$1.00 |
| 3080F |
|
709 |
651 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
285 |
253 |
$0.00 |
| 3079F |
|
2,139 |
1,917 |
$0.00 |
| 3075F |
|
953 |
868 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
954 |
818 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,411 |
1,183 |
$0.00 |
| 93000 |
|
286 |
268 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| 94010 |
|
80 |
72 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 81002 |
|
505 |
498 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,621 |
1,388 |
$0.00 |
| 3078F |
|
4,682 |
3,728 |
$0.00 |
| 1159F |
|
7,315 |
5,765 |
$0.00 |
| 99080 |
|
507 |
428 |
$0.00 |
| 1160F |
|
2,603 |
2,251 |
$0.00 |
| 3077F |
|
949 |
855 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
459 |
394 |
$0.00 |
| 99499 |
|
1,473 |
1,231 |
$0.00 |
| 90734 |
|
14 |
12 |
$0.00 |
| 99423 |
|
25 |
24 |
$0.00 |