| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,394 |
4,808 |
$251K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
545 |
539 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,338 |
1,300 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
457 |
449 |
$28K |
| 76536 |
|
137 |
137 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
85 |
85 |
$10K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
124 |
121 |
$6K |
| 82947 |
|
1,479 |
1,230 |
$4K |
| 93000 |
|
311 |
309 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,288 |
2,215 |
$2K |
| 0011A |
|
55 |
55 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
92 |
92 |
$2K |
| 0002A |
|
34 |
34 |
$1K |
| 90656 |
|
107 |
106 |
$1K |
| 0012A |
|
32 |
32 |
$1K |
| 0064A |
|
21 |
21 |
$846.80 |
| 81002 |
|
357 |
344 |
$823.19 |
| 0001A |
|
46 |
46 |
$792.36 |
| 90661 |
|
63 |
63 |
$581.12 |
| 92227 |
|
35 |
34 |
$456.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
30 |
$369.65 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
140 |
133 |
$98.50 |
| 90688 |
|
12 |
12 |
$96.18 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
71 |
66 |
$71.50 |
| 3044F |
|
60 |
56 |
$35.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$26.47 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$18.91 |
| 3045F |
|
17 |
12 |
$0.00 |