| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,794 |
2,469 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,722 |
2,345 |
$197K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
157 |
156 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
87 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
76 |
73 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
78 |
78 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
41 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
214 |
208 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$960.48 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
700 |
678 |
$425.00 |
| 97802 |
|
766 |
743 |
$300.00 |
| 3074F |
|
812 |
703 |
$50.04 |
| 90633 |
|
58 |
56 |
$10.00 |
| 82948 |
|
762 |
605 |
$3.02 |
| 3008F |
|
2,431 |
2,081 |
$0.04 |
| 82947 |
|
587 |
513 |
$0.00 |
| 3078F |
|
397 |
351 |
$0.00 |
| 90461 |
|
55 |
52 |
$0.00 |
| 3077F |
|
32 |
27 |
$0.00 |
| 81002 |
|
28 |
25 |
$0.00 |
| 3079F |
|
762 |
671 |
$0.00 |
| 3075F |
|
79 |
72 |
$0.00 |
| 96127 |
|
156 |
150 |
$0.00 |
| 90651 |
|
19 |
18 |
$0.00 |
| 90686 |
|
35 |
35 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| 93000 |
|
28 |
28 |
$0.00 |