| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
456 |
434 |
$1K |
| 3074F |
|
508 |
487 |
$647.40 |
| 3078F |
|
337 |
324 |
$353.40 |
| 1158F |
|
450 |
428 |
$263.52 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
253 |
241 |
$251.20 |
| 3079F |
|
162 |
154 |
$158.76 |
| 3048F |
|
77 |
71 |
$98.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$87.08 |
| 3075F |
|
32 |
32 |
$5.88 |
| 1170F |
|
471 |
451 |
$0.00 |
| 3014F |
|
49 |
47 |
$0.00 |
| 1125F |
|
445 |
426 |
$0.00 |
| 3017F |
|
90 |
85 |
$0.00 |
| 1126F |
|
15 |
15 |
$0.00 |
| 3060F |
|
17 |
15 |
$0.00 |
| 3061F |
|
63 |
58 |
$0.00 |
| 3008F |
|
19 |
17 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
53 |
53 |
$0.00 |
| 3049F |
|
14 |
14 |
$0.00 |
| 0521F |
|
461 |
443 |
$0.00 |
| 1159F |
|
474 |
454 |
$0.00 |
| 1160F |
|
476 |
454 |
$0.00 |
| 96160 |
|
28 |
28 |
$0.00 |
| 2028F |
|
106 |
98 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |