| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,540 |
7,159 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,318 |
1,201 |
$9K |
| 92081 |
|
332 |
332 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
106 |
106 |
$5K |
| 97802 |
|
225 |
225 |
$3K |
| 11721 |
|
609 |
587 |
$2K |
| 92551 |
|
425 |
425 |
$2K |
| 96150 |
|
195 |
194 |
$2K |
| 82947 |
|
4,333 |
3,613 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
32 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
49 |
49 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
17 |
$1K |
| 99384 |
|
26 |
26 |
$651.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
443 |
239 |
$605.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
90 |
$573.80 |
| 85018 |
|
478 |
478 |
$459.20 |
| 81000 |
|
368 |
367 |
$430.95 |
| 93000 |
|
41 |
41 |
$426.15 |
| 11056 |
|
424 |
420 |
$302.87 |
| 90651 |
|
43 |
43 |
$198.00 |
| 90734 |
|
40 |
40 |
$189.00 |
| 90715 |
|
16 |
16 |
$117.00 |
| 90620 |
|
46 |
46 |
$108.00 |
| 99000 |
|
1,225 |
1,058 |
$57.48 |
| 90656 |
|
45 |
45 |
$11.25 |
| 3008F |
|
2,340 |
1,911 |
$0.00 |
| 3074F |
|
100 |
89 |
$0.00 |
| 11730 |
|
12 |
12 |
$0.00 |
| 99172 |
|
43 |
43 |
$0.00 |
| 1126F |
|
54 |
49 |
$0.00 |
| 1125F |
|
32 |
29 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
38 |
38 |
$0.00 |
| 3078F |
|
313 |
272 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
18 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
12 |
$0.00 |