| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,313 |
17,899 |
$939K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,064 |
972 |
$64K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
618 |
578 |
$36K |
| 81002 |
|
7,485 |
6,992 |
$17K |
| 96127 |
|
3,572 |
3,373 |
$13K |
| 81025 |
|
1,798 |
1,637 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
40 |
37 |
$2K |
| 76830 |
Ultrasound, transvaginal |
27 |
24 |
$2K |
| 87210 |
|
15 |
15 |
$67.75 |
| 87220 |
|
14 |
14 |
$44.52 |
| 3008F |
|
1,725 |
1,665 |
$0.00 |
| 3015F |
|
101 |
100 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
323 |
302 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
76 |
76 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
12 |
12 |
$0.00 |