| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,033 |
12,104 |
$482K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,338 |
2,927 |
$160K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,329 |
2,013 |
$134K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,924 |
1,666 |
$101K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
985 |
872 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
182 |
173 |
$13K |
| 99385 |
|
185 |
161 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
379 |
346 |
$9K |
| 99442 |
|
594 |
380 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
676 |
608 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
115 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
97 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
281 |
258 |
$4K |
| 99441 |
|
317 |
186 |
$2K |
| 82962 |
|
972 |
838 |
$2K |
| 90756 |
|
199 |
175 |
$2K |
| 99386 |
|
13 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$487.59 |
| 99421 |
|
147 |
96 |
$480.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
96 |
74 |
$308.53 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$18.93 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
41 |
39 |
$18.48 |
| 3077F |
|
5,485 |
4,310 |
$5.00 |
| 3080F |
|
6,202 |
4,966 |
$5.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14,910 |
11,416 |
$0.00 |
| 1160F |
|
18,795 |
15,195 |
$0.00 |
| 3078F |
|
6,141 |
4,944 |
$0.00 |
| 1159F |
|
17,723 |
14,375 |
$0.00 |
| 90734 |
|
45 |
39 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
274 |
246 |
$0.00 |
| 90633 |
|
43 |
39 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
28 |
28 |
$0.00 |
| 1126F |
|
9,062 |
7,618 |
$0.00 |
| 1125F |
|
9,396 |
7,502 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,099 |
2,353 |
$0.00 |
| 3079F |
|
4,614 |
3,738 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
2,651 |
1,941 |
$0.00 |
| 3075F |
|
2,669 |
2,180 |
$0.00 |
| 3074F |
|
9,085 |
7,275 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
85 |
78 |
$0.00 |
| 99422 |
|
39 |
17 |
$0.00 |
| 1111F |
|
894 |
729 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
16 |
12 |
$0.00 |
| 90651 |
|
82 |
73 |
$0.00 |
| 1170F |
|
33 |
19 |
$0.00 |