| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
834 |
648 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
173 |
131 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
75 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
36 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
32 |
31 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$346.20 |
| 99386 |
|
13 |
13 |
$330.60 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$324.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$46.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$16.55 |
| 3725F |
|
232 |
214 |
$0.00 |
| 3078F |
|
123 |
120 |
$0.00 |
| 1159F |
|
24 |
24 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
44 |
44 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |
| 1158F |
|
13 |
12 |
$0.00 |
| 1175F |
|
13 |
12 |
$0.00 |
| 1000F |
|
120 |
117 |
$0.00 |
| 3008F |
|
474 |
376 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
13 |
12 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
111 |
109 |
$0.00 |
| 3074F |
|
124 |
121 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
93 |
90 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |
| 1126F |
|
13 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
29 |
15 |
$0.00 |