| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,750 |
2,697 |
$364K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,146 |
1,090 |
$311K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,549 |
2,498 |
$251K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
972 |
969 |
$178K |
| A4267 |
Contraceptive supply, condom, male, each |
2,782 |
2,778 |
$31K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,783 |
1,783 |
$23K |
| J3490 |
Unclassified drugs |
120 |
107 |
$11K |
| 99000 |
|
2,868 |
2,851 |
$10K |
| 92551 |
|
1,650 |
1,645 |
$8K |
| 81025 |
|
892 |
886 |
$3K |
| 90686 |
|
241 |
214 |
$906.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,794 |
2,741 |
$527.29 |
| 90672 |
|
61 |
61 |
$369.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
506 |
503 |
$358.26 |
| 1111F |
|
503 |
501 |
$264.00 |
| 1170F |
|
373 |
372 |
$210.00 |
| 90620 |
|
76 |
76 |
$162.00 |
| A4268 |
Contraceptive supply, condom, female, each |
34 |
34 |
$127.16 |
| 94760 |
|
1,930 |
1,921 |
$107.13 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
391 |
389 |
$91.17 |
| 90734 |
|
63 |
59 |
$90.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
91 |
$81.44 |
| 90651 |
|
58 |
52 |
$78.00 |
| 90716 |
|
13 |
13 |
$78.00 |
| 90707 |
|
12 |
12 |
$72.00 |
| 90658 |
|
64 |
60 |
$44.73 |
| 0012A |
|
27 |
27 |
$40.00 |
| 0011A |
|
17 |
17 |
$40.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
355 |
352 |
$40.00 |
| 90655 |
|
74 |
72 |
$39.33 |
| 0521F |
|
1,115 |
1,105 |
$15.00 |
| 1220F |
|
165 |
165 |
$10.00 |
| 1125F |
|
123 |
122 |
$5.00 |
| 87110 |
|
1,353 |
1,348 |
$0.00 |
| 3079F |
|
102 |
102 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,065 |
2,046 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,624 |
1,603 |
$0.00 |
| 3061F |
|
430 |
430 |
$0.00 |
| 3074F |
|
1,430 |
1,424 |
$0.00 |
| 3008F |
|
4,206 |
4,160 |
$0.00 |
| 99384 |
|
95 |
95 |
$0.00 |
| 0001A |
|
52 |
52 |
$0.00 |
| 99383 |
|
140 |
139 |
$0.00 |
| 97802 |
|
143 |
143 |
$0.00 |
| 3044F |
|
467 |
467 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
277 |
276 |
$0.00 |
| 3014F |
|
43 |
43 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
18 |
18 |
$0.00 |
| 99385 |
|
41 |
41 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,365 |
1,361 |
$0.00 |
| 3078F |
|
681 |
681 |
$0.00 |
| 3045F |
|
17 |
17 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
271 |
267 |
$0.00 |
| 97803 |
|
1,751 |
1,728 |
$0.00 |
| 3288F |
|
45 |
45 |
$0.00 |
| 0002A |
|
49 |
49 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
64 |
64 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
12 |
12 |
$0.00 |
| 90715 |
|
27 |
25 |
$0.00 |