| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,334 |
4,227 |
$15K |
| 90756 |
|
294 |
292 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,028 |
4,001 |
$4K |
| 96160 |
|
4,506 |
4,459 |
$3K |
| 99385 |
|
498 |
491 |
$2K |
| 3008F |
|
5,498 |
5,361 |
$2K |
| 99386 |
|
241 |
235 |
$1K |
| 90674 |
|
54 |
54 |
$1K |
| 90658 |
|
43 |
40 |
$927.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,169 |
1,070 |
$699.34 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
509 |
507 |
$671.73 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,712 |
2,674 |
$633.44 |
| 1036F |
|
4,621 |
4,514 |
$474.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
358 |
356 |
$440.59 |
| 93922 |
|
13 |
13 |
$351.68 |
| 1159F |
|
8,857 |
8,575 |
$213.23 |
| 1125F |
|
2,455 |
2,404 |
$161.40 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$101.87 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
232 |
231 |
$73.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
71 |
$54.30 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
27 |
27 |
$53.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
378 |
361 |
$30.00 |
| 3074F |
|
6,307 |
6,150 |
$26.01 |
| 96156 |
|
3,091 |
3,085 |
$25.00 |
| 1126F |
|
3,849 |
3,788 |
$0.00 |
| 1170F |
|
2,122 |
2,109 |
$0.00 |
| 1034F |
|
282 |
274 |
$0.00 |
| 1220F |
|
2,160 |
2,133 |
$0.00 |
| 3079F |
|
1,089 |
1,061 |
$0.00 |
| 3075F |
|
902 |
881 |
$0.00 |
| 99406 |
|
76 |
75 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
175 |
170 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
781 |
745 |
$0.00 |
| 3080F |
|
107 |
99 |
$0.00 |
| 99441 |
|
64 |
55 |
$0.00 |
| 1158F |
|
764 |
759 |
$0.00 |
| 3078F |
|
6,410 |
6,245 |
$0.00 |
| 1175F |
|
1,312 |
1,308 |
$0.00 |
| 1160F |
|
8,569 |
8,340 |
$0.00 |
| 3077F |
|
258 |
244 |
$0.00 |
| 1090F |
|
771 |
763 |
$0.00 |
| 3288F |
|
83 |
74 |
$0.00 |
| 99446 |
|
24 |
24 |
$0.00 |