| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,931 |
4,767 |
$263K |
| 99215 |
Prolong outpt/office vis |
1,281 |
1,072 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,469 |
1,170 |
$44K |
| 99205 |
Prolong outpt/office vis |
88 |
80 |
$9K |
| 82947 |
|
550 |
450 |
$1K |
| 0012A |
|
23 |
18 |
$593.28 |
| 0011A |
|
19 |
19 |
$545.72 |
| 71045 |
Radiologic examination, chest; single view |
16 |
12 |
$112.16 |
| 36415 |
Collection of venous blood by venipuncture |
60 |
53 |
$90.30 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
83 |
78 |
$0.00 |
| 3080F |
|
807 |
645 |
$0.00 |
| 3079F |
|
613 |
507 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
140 |
132 |
$0.00 |
| 1157F |
|
2,164 |
1,742 |
$0.00 |
| 3075F |
|
231 |
182 |
$0.00 |
| 3074F |
|
994 |
781 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
66 |
55 |
$0.00 |
| 91301 |
|
49 |
44 |
$0.00 |
| 3078F |
|
807 |
667 |
$0.00 |
| 1159F |
|
6,478 |
4,729 |
$0.00 |
| 1160F |
|
6,448 |
4,702 |
$0.00 |
| 3077F |
|
928 |
777 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,346 |
1,192 |
$0.00 |