| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,188 |
7,306 |
$880K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
972 |
937 |
$117K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
357 |
355 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,983 |
1,935 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
267 |
267 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
319 |
304 |
$17K |
| 90621 |
|
192 |
192 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
113 |
112 |
$12K |
| 99173 |
|
1,739 |
1,731 |
$11K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,161 |
1,159 |
$10K |
| 97802 |
|
1,479 |
1,472 |
$6K |
| 90656 |
|
1,347 |
1,343 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,789 |
1,759 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
137 |
132 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
89 |
86 |
$2K |
| 90674 |
|
57 |
57 |
$467.61 |
| H0006 |
Alcohol and/or drug services; case management |
19 |
19 |
$0.00 |
| 91307 |
|
29 |
29 |
$0.00 |