| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,737 |
5,168 |
$524K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,766 |
2,496 |
$179K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,134 |
1,123 |
$110K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,124 |
1,114 |
$97K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
236 |
236 |
$20K |
| 94010 |
|
1,070 |
1,053 |
$19K |
| 99385 |
|
182 |
181 |
$19K |
| 93000 |
|
1,865 |
1,828 |
$17K |
| 90686 |
|
533 |
531 |
$11K |
| 96127 |
|
3,193 |
2,902 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,498 |
2,363 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
724 |
717 |
$8K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
314 |
311 |
$7K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
311 |
308 |
$6K |
| 99406 |
|
276 |
243 |
$2K |
| 90674 |
|
80 |
80 |
$2K |
| 99497 |
|
42 |
41 |
$2K |
| 90756 |
|
61 |
57 |
$1K |
| 82962 |
|
521 |
498 |
$1K |
| 90656 |
|
35 |
35 |
$675.47 |
| 83014 |
|
132 |
125 |
$577.59 |
| 90688 |
|
16 |
16 |
$296.12 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
26 |
$288.19 |
| 81003 |
|
76 |
72 |
$156.88 |
| 94150 |
|
12 |
12 |
$154.75 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14 |
14 |
$47.50 |
| 3074F |
|
6,132 |
4,829 |
$0.00 |
| 3079F |
|
3,571 |
2,888 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,992 |
4,883 |
$0.00 |
| 3075F |
|
1,587 |
1,288 |
$0.00 |
| 1111F |
|
43 |
43 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
222 |
214 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
156 |
134 |
$0.00 |
| 1101F |
|
30 |
30 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |
| 1036F |
|
46 |
45 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
462 |
401 |
$0.00 |
| 3078F |
|
4,246 |
3,449 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
16 |
15 |
$0.00 |
| 3016F |
|
28 |
28 |
$0.00 |
| 1159F |
|
30 |
30 |
$0.00 |
| 1033F |
|
12 |
12 |
$0.00 |