| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,071 |
865 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,075 |
6,794 |
$124.17 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,702 |
5,276 |
$118.04 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
73 |
$12.68 |
| 1125F |
|
1,483 |
1,230 |
$0.00 |
| 3008F |
|
14,405 |
10,382 |
$0.00 |
| 1126F |
|
8,177 |
6,011 |
$0.00 |
| 3048F |
|
1,955 |
1,513 |
$0.00 |
| 3075F |
|
1,140 |
880 |
$0.00 |
| 2000F |
|
6,346 |
4,990 |
$0.00 |
| 3079F |
|
1,987 |
1,477 |
$0.00 |
| 3049F |
|
698 |
549 |
$0.00 |
| 3512F |
|
93 |
58 |
$0.00 |
| 3074F |
|
5,192 |
3,787 |
$0.00 |
| 1030F |
|
28 |
26 |
$0.00 |
| 1036F |
|
2,202 |
1,794 |
$0.00 |
| 99441 |
|
371 |
287 |
$0.00 |
| 1000F |
|
310 |
256 |
$0.00 |
| 3044F |
|
549 |
416 |
$0.00 |
| 3017F |
|
882 |
654 |
$0.00 |
| 3011F |
|
134 |
117 |
$0.00 |
| 1157F |
|
49 |
45 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
25 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
183 |
145 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
246 |
127 |
$0.00 |
| 1038F |
|
12 |
12 |
$0.00 |
| 4015F |
|
33 |
24 |
$0.00 |
| 2016F |
|
12 |
12 |
$0.00 |
| 97802 |
|
143 |
126 |
$0.00 |
| 99383 |
|
42 |
38 |
$0.00 |
| 4000F |
|
48 |
40 |
$0.00 |
| 2010F |
|
70 |
57 |
$0.00 |
| 3014F |
|
55 |
42 |
$0.00 |
| 3061F |
|
67 |
53 |
$0.00 |
| 4010F |
|
47 |
32 |
$0.00 |
| 99406 |
|
17 |
14 |
$0.00 |
| 1034F |
|
28 |
25 |
$0.00 |
| 1170F |
|
27 |
14 |
$0.00 |
| 1005F |
|
12 |
12 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$0.00 |
| 1160F |
|
7,169 |
5,457 |
$0.00 |
| 3077F |
|
301 |
241 |
$0.00 |
| 1159F |
|
7,176 |
5,463 |
$0.00 |
| 3050F |
|
183 |
150 |
$0.00 |
| 3045F |
|
31 |
31 |
$0.00 |
| 3078F |
|
5,105 |
3,780 |
$0.00 |
| 3725F |
|
949 |
846 |
$0.00 |
| 3511F |
|
148 |
104 |
$0.00 |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
216 |
178 |
$0.00 |
| 3046F |
|
29 |
17 |
$0.00 |
| 1158F |
|
523 |
424 |
$0.00 |
| 96160 |
|
63 |
47 |
$0.00 |
| 3015F |
|
24 |
17 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
27 |
27 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
34 |
25 |
$0.00 |
| 0521F |
|
69 |
51 |
$0.00 |
| 3051F |
|
18 |
13 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$0.00 |
| 99382 |
|
13 |
13 |
$0.00 |