| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,098 |
3,886 |
$318K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,379 |
2,289 |
$255K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
459 |
459 |
$45K |
| 93000 |
|
718 |
708 |
$11K |
| 99401 |
|
481 |
474 |
$10K |
| 90686 |
|
335 |
333 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
421 |
418 |
$5K |
| 96127 |
|
1,233 |
1,229 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
762 |
758 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$993.64 |
| 3078F |
|
14 |
14 |
$12.50 |
| 3008F |
|
260 |
256 |
$0.00 |
| 99058 |
|
15 |
13 |
$0.00 |