| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,255 |
5,121 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,299 |
8,184 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,433 |
1,431 |
$3K |
| 90716 |
|
163 |
163 |
$2K |
| 90670 |
|
151 |
151 |
$2K |
| 90658 |
|
253 |
253 |
$1K |
| 99000 |
|
3,911 |
3,817 |
$1K |
| 90715 |
|
140 |
140 |
$1K |
| 81007 |
|
1,685 |
1,669 |
$986.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,145 |
1,060 |
$743.49 |
| 86580 |
|
179 |
179 |
$695.67 |
| 90707 |
|
15 |
15 |
$382.12 |
| 81002 |
|
1,909 |
1,891 |
$359.55 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
333 |
333 |
$330.03 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,041 |
1,032 |
$123.59 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$57.20 |
| 3075F |
|
628 |
624 |
$38.08 |
| 82962 |
|
239 |
216 |
$25.35 |
| 3080F |
|
996 |
937 |
$8.08 |
| 3074F |
|
1,464 |
1,389 |
$8.08 |
| 81003 |
|
111 |
110 |
$5.68 |
| 3044F |
|
51 |
51 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 1126F |
|
18 |
18 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
238 |
226 |
$0.00 |
| 3008F |
|
195 |
195 |
$0.00 |
| 3079F |
|
1,069 |
1,042 |
$0.00 |
| 1157F |
|
25 |
25 |
$0.00 |
| 99386 |
|
17 |
17 |
$0.00 |
| 1125F |
|
40 |
40 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
27 |
27 |
$0.00 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
14 |
14 |
$0.00 |
| 1170F |
|
24 |
24 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 3078F |
|
1,354 |
1,273 |
$0.00 |
| 3077F |
|
1,316 |
1,239 |
$0.00 |
| 1160F |
|
24 |
24 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
134 |
134 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$0.00 |
| 1158F |
|
24 |
24 |
$0.00 |
| 1159F |
|
24 |
24 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$0.00 |
| 82042 |
|
14 |
14 |
$0.00 |