| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,220 |
1,201 |
$4K |
| 3008F |
|
1,414 |
1,403 |
$3K |
| 3074F |
|
855 |
849 |
$2K |
| 3078F |
|
822 |
817 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
431 |
431 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
86 |
86 |
$1K |
| 3725F |
|
917 |
915 |
$1K |
| 1126F |
|
913 |
911 |
$997.50 |
| 1170F |
|
920 |
917 |
$987.50 |
| 3079F |
|
429 |
427 |
$951.00 |
| 1160F |
|
646 |
646 |
$654.50 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
72 |
72 |
$639.00 |
| 1159F |
|
651 |
651 |
$638.00 |
| 3077F |
|
253 |
246 |
$510.00 |
| 3075F |
|
214 |
213 |
$494.00 |
| 93000 |
|
319 |
313 |
$170.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
46 |
$144.74 |
| 3080F |
|
59 |
57 |
$113.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
622 |
611 |
$96.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
150 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
449 |
448 |
$0.00 |
| 82044 |
|
226 |
226 |
$0.00 |
| 97802 |
|
43 |
43 |
$0.00 |
| 82270 |
|
226 |
226 |
$0.00 |
| 90682 |
|
28 |
28 |
$0.00 |