| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,312 |
714 |
$178K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,115 |
2,409 |
$178K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,846 |
9,910 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,904 |
2,660 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,678 |
2,507 |
$10K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
677 |
677 |
$9K |
| 92551 |
|
2,907 |
2,903 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
283 |
282 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
279 |
277 |
$3K |
| 99000 |
|
543 |
543 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
206 |
205 |
$2K |
| G9920 |
Screening performed and negative |
226 |
226 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
87 |
$1K |
| 81002 |
|
2,410 |
2,379 |
$422.92 |
| 85018 |
|
901 |
891 |
$257.74 |
| 92552 |
|
86 |
86 |
$203.62 |
| 90688 |
|
101 |
100 |
$188.10 |
| 90744 |
|
12 |
12 |
$108.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$81.00 |
| 92081 |
|
110 |
110 |
$63.79 |
| 3008F |
|
4,537 |
4,296 |
$51.30 |
| 90658 |
|
42 |
42 |
$38.90 |
| 3078F |
|
1,848 |
1,748 |
$37.50 |
| 3074F |
|
1,840 |
1,744 |
$36.30 |
| 90734 |
|
12 |
12 |
$9.00 |
| 3075F |
|
179 |
177 |
$3.60 |
| 3044F |
|
404 |
396 |
$3.60 |
| 3077F |
|
179 |
173 |
$2.10 |
| 3079F |
|
251 |
248 |
$2.10 |
| 3080F |
|
48 |
44 |
$0.60 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 1125F |
|
16 |
16 |
$0.00 |
| 3048F |
|
29 |
29 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$0.00 |