| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,961 |
4,407 |
$3K |
| 99215 |
Prolong outpt/office vis |
1,029 |
967 |
$514.90 |
| 99422 |
|
981 |
868 |
$473.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,979 |
1,768 |
$297.63 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
430 |
427 |
$225.67 |
| 99423 |
|
120 |
118 |
$76.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
251 |
201 |
$73.53 |
| 99385 |
|
145 |
145 |
$42.40 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
121 |
120 |
$42.22 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
188 |
184 |
$17.36 |
| 93000 |
|
640 |
627 |
$16.45 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
202 |
200 |
$16.35 |
| 99383 |
|
39 |
39 |
$12.21 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
29 |
$11.02 |
| 94010 |
|
292 |
290 |
$8.57 |
| 99384 |
|
16 |
16 |
$6.05 |
| 99386 |
|
51 |
51 |
$3.11 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,765 |
1,403 |
$1.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.05 |
| 99397 |
|
32 |
32 |
$0.04 |
| 1160F |
|
5,219 |
4,595 |
$0.00 |
| 1159F |
|
6,824 |
5,892 |
$0.00 |
| 99071 |
|
8,290 |
6,277 |
$0.00 |
| 3078F |
|
5,213 |
4,244 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,368 |
1,833 |
$0.00 |
| 99499 |
|
974 |
856 |
$0.00 |
| 3077F |
|
1,109 |
947 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
573 |
456 |
$0.00 |
| 99080 |
|
573 |
500 |
$0.00 |
| 1158F |
|
14 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,262 |
1,021 |
$0.00 |
| 3080F |
|
778 |
677 |
$0.00 |
| 3079F |
|
2,633 |
2,054 |
$0.00 |
| 3074F |
|
6,581 |
5,295 |
$0.00 |
| 3075F |
|
841 |
716 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
273 |
224 |
$0.00 |
| 94760 |
|
871 |
720 |
$0.00 |
| 1170F |
|
29 |
29 |
$0.00 |
| 1126F |
|
415 |
394 |
$0.00 |
| 1125F |
|
32 |
31 |
$0.00 |
| 3044F |
|
14 |
14 |
$0.00 |
| 90686 |
|
17 |
17 |
$0.00 |