| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,248 |
865 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,732 |
1,232 |
$91K |
| 99350 |
Prolong home eval add 15m |
171 |
126 |
$17K |
| 99401 |
|
548 |
439 |
$14K |
| 99404 |
|
150 |
135 |
$10K |
| 99215 |
Prolong outpt/office vis |
89 |
63 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
76 |
$7K |
| 99402 |
|
153 |
132 |
$6K |
| 99205 |
Prolong outpt/office vis |
42 |
40 |
$5K |
| 99337 |
|
31 |
29 |
$4K |
| 99403 |
|
45 |
38 |
$2K |
| 96127 |
|
645 |
558 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
50 |
$2K |
| 99349 |
|
28 |
26 |
$1K |
| 99354 |
|
34 |
29 |
$938.52 |
| 36410 |
|
72 |
63 |
$872.56 |
| 99417 |
Prolong home eval add 15m |
29 |
27 |
$434.79 |
| 99447 |
|
98 |
74 |
$412.00 |
| 93000 |
|
13 |
13 |
$188.11 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
46 |
15 |
$112.20 |
| 99406 |
|
12 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
15 |
13 |
$0.00 |
| 3008F |
|
73 |
64 |
$0.00 |
| 1220F |
|
16 |
15 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
18 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
16 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
27 |
14 |
$0.00 |
| 97802 |
|
16 |
16 |
$0.00 |
| 3725F |
|
68 |
64 |
$0.00 |
| 1160F |
|
24 |
24 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
35 |
29 |
$0.00 |