| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,939 |
6,918 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,890 |
2,780 |
$20K |
| 90686 |
|
251 |
249 |
$3K |
| 90756 |
|
94 |
94 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
329 |
329 |
$1K |
| 99490 |
Ccm add 20min |
152 |
152 |
$803.35 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
36 |
$756.76 |
| 88150 |
|
29 |
29 |
$750.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
29 |
29 |
$700.00 |
| 93000 |
|
41 |
41 |
$588.75 |
| 82962 |
|
2,311 |
1,981 |
$350.22 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
540 |
538 |
$255.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
151 |
151 |
$128.87 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,079 |
1,078 |
$120.50 |
| 99000 |
|
158 |
149 |
$75.28 |
| 3074F |
|
1,201 |
1,167 |
$34.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
913 |
913 |
$18.90 |
| 3008F |
|
1,075 |
1,070 |
$18.00 |
| 3078F |
|
1,348 |
1,304 |
$10.00 |
| 3077F |
|
66 |
64 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
115 |
115 |
$0.00 |
| 3725F |
|
982 |
982 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
802 |
798 |
$0.00 |
| 3079F |
|
48 |
44 |
$0.00 |
| 3075F |
|
96 |
94 |
$0.00 |