| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,641 |
2,637 |
$143K |
| 99205 |
Prolong outpt/office vis |
932 |
931 |
$78K |
| 92551 |
|
558 |
556 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,262 |
1,193 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
49 |
$920.27 |
| 90686 |
|
176 |
170 |
$293.80 |
| 99173 |
|
558 |
556 |
$28.08 |
| 96127 |
|
43 |
43 |
$17.31 |
| S9451 |
Exercise classes, non-physician provider, per session |
407 |
407 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$0.00 |
| 97803 |
|
298 |
298 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
433 |
404 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
33 |
$0.00 |