| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,902 |
15,964 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,686 |
7,052 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
192 |
192 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
456 |
454 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
354 |
354 |
$7K |
| 90686 |
|
360 |
358 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
288 |
285 |
$5K |
| 85014 |
|
1,726 |
1,721 |
$4K |
| 92552 |
|
1,753 |
1,749 |
$4K |
| 90651 |
|
230 |
230 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
464 |
462 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
98 |
$2K |
| 90682 |
|
21 |
21 |
$1K |
| 99497 |
|
12 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
353 |
353 |
$1K |
| 90734 |
|
69 |
69 |
$922.50 |
| 90716 |
|
55 |
55 |
$729.00 |
| 90715 |
|
55 |
55 |
$724.50 |
| 90633 |
|
53 |
53 |
$711.00 |
| 90707 |
|
48 |
48 |
$634.50 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$570.63 |
| G9920 |
Screening performed and negative |
18 |
18 |
$551.00 |
| 90672 |
|
34 |
34 |
$494.68 |
| 90621 |
|
33 |
33 |
$445.50 |
| 90696 |
|
24 |
24 |
$324.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
85 |
84 |
$265.20 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
187 |
185 |
$168.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$93.66 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
246 |
235 |
$55.64 |
| 92551 |
|
17 |
17 |
$50.07 |
| 99499 |
|
1,451 |
1,445 |
$0.00 |
| 3077F |
|
144 |
142 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |
| 3079F |
|
62 |
62 |
$0.00 |
| 3075F |
|
20 |
19 |
$0.00 |
| 3080F |
|
73 |
72 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |