| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,893 |
4,696 |
$236K |
| 95816 |
|
185 |
79 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
694 |
563 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
562 |
541 |
$30K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
708 |
543 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
160 |
140 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
54 |
$4K |
| 90901 |
|
127 |
47 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
32 |
$2K |
| 99385 |
|
13 |
13 |
$2K |
| 90785 |
|
95 |
70 |
$634.20 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
18 |
18 |
$323.91 |
| 81002 |
|
98 |
86 |
$107.78 |
| 94760 |
|
67 |
48 |
$53.17 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
13 |
$0.00 |