| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,082 |
2,814 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,615 |
1,475 |
$119K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
669 |
657 |
$9K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
649 |
636 |
$9K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
39 |
39 |
$7K |
| 90674 |
|
172 |
168 |
$4K |
| S9999 |
Sales tax |
381 |
301 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
140 |
139 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
60 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
45 |
$999.79 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
53 |
53 |
$388.70 |
| 80305 |
|
13 |
13 |
$129.16 |
| 1159F |
|
3,298 |
2,946 |
$0.00 |
| 3078F |
|
1,740 |
1,602 |
$0.00 |
| 3016F |
|
491 |
481 |
$0.00 |
| 1160F |
|
3,486 |
3,119 |
$0.00 |
| 3077F |
|
140 |
114 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,975 |
2,585 |
$0.00 |
| 1158F |
|
463 |
423 |
$0.00 |
| 3008F |
|
5,305 |
4,707 |
$0.00 |
| 3074F |
|
2,685 |
2,433 |
$0.00 |
| 1157F |
|
78 |
71 |
$0.00 |
| 3079F |
|
1,611 |
1,471 |
$0.00 |
| 1126F |
|
3,099 |
2,866 |
$0.00 |
| 1125F |
|
1,993 |
1,779 |
$0.00 |
| 3075F |
|
462 |
429 |
$0.00 |
| 1000F |
|
78 |
76 |
$0.00 |
| 1220F |
|
237 |
233 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
44 |
40 |
$0.00 |
| 3080F |
|
15 |
14 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
13 |
12 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |