| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,629 |
1,551 |
$106K |
| 99215 |
Prolong outpt/office vis |
709 |
688 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
168 |
167 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
605 |
591 |
$4K |
| 82962 |
|
754 |
730 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$841.17 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$503.28 |
| 99407 |
|
26 |
26 |
$396.54 |
| 95251 |
|
13 |
13 |
$264.73 |
| 3074F |
|
1,681 |
1,601 |
$1.89 |
| 3078F |
|
1,490 |
1,411 |
$1.71 |
| 3079F |
|
738 |
716 |
$0.76 |
| 3075F |
|
398 |
389 |
$0.37 |
| 3077F |
|
370 |
357 |
$0.29 |
| 1160F |
|
130 |
90 |
$0.22 |
| 1159F |
|
108 |
101 |
$0.16 |
| 3080F |
|
239 |
232 |
$0.16 |
| 3046F |
|
13 |
13 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,192 |
2,068 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
451 |
424 |
$0.00 |
| 3044F |
|
28 |
26 |
$0.00 |