| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,980 |
8,127 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
941 |
914 |
$8K |
| 92552 |
|
2,382 |
2,382 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,360 |
2,311 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
315 |
315 |
$2K |
| 90686 |
|
998 |
996 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
452 |
451 |
$2K |
| 90651 |
|
325 |
324 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
961 |
941 |
$1K |
| 92081 |
|
1,064 |
1,064 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
296 |
296 |
$958.73 |
| 92551 |
|
619 |
619 |
$864.88 |
| 0124A |
|
24 |
24 |
$800.00 |
| 90688 |
|
398 |
396 |
$308.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
122 |
108 |
$296.64 |
| 90461 |
|
190 |
188 |
$234.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
389 |
389 |
$229.56 |
| 90744 |
|
174 |
174 |
$147.60 |
| 90672 |
|
143 |
141 |
$141.09 |
| 0003A |
|
18 |
16 |
$140.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$101.87 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
29 |
$97.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
44 |
44 |
$60.00 |
| 97802 |
|
44 |
44 |
$60.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,045 |
1,042 |
$50.59 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
99 |
99 |
$39.40 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$37.02 |
| 86580 |
|
33 |
32 |
$33.33 |
| 87110 |
|
180 |
180 |
$30.52 |
| 90621 |
|
92 |
92 |
$15.00 |
| 87070 |
|
191 |
190 |
$13.64 |
| 96156 |
|
260 |
260 |
$10.00 |
| 96160 |
|
693 |
692 |
$0.00 |
| 3078F |
|
481 |
469 |
$0.00 |
| 99173 |
|
1,039 |
1,039 |
$0.00 |
| 99442 |
|
97 |
94 |
$0.00 |
| 3015F |
|
75 |
74 |
$0.00 |
| 91300 |
|
30 |
30 |
$0.00 |
| 3077F |
|
83 |
79 |
$0.00 |
| 3017F |
|
549 |
528 |
$0.00 |
| 3014F |
|
225 |
225 |
$0.00 |
| 3074F |
|
434 |
421 |
$0.00 |
| 3008F |
|
929 |
909 |
$0.00 |
| 90619 |
|
27 |
27 |
$0.00 |
| 3079F |
|
64 |
64 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| 3080F |
|
14 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |