| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
341 |
262 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,994 |
1,723 |
$28K |
| Z1034 |
|
332 |
213 |
$18K |
| J3490 |
Unclassified drugs |
85 |
53 |
$7K |
| 90651 |
|
38 |
38 |
$4K |
| 92552 |
|
233 |
233 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
34 |
$1K |
| 81025 |
|
484 |
483 |
$1K |
| 90686 |
|
111 |
107 |
$856.49 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$831.20 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$756.02 |
| 99000 |
|
212 |
204 |
$724.22 |
| Z6406 |
|
46 |
36 |
$697.95 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
53 |
29 |
$428.24 |
| 85018 |
|
298 |
298 |
$269.88 |
| Z6400 |
|
12 |
12 |
$183.19 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
12 |
12 |
$152.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
92 |
87 |
$151.08 |
| 81002 |
|
145 |
143 |
$118.47 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
145 |
145 |
$110.00 |
| 81000 |
|
26 |
26 |
$47.43 |
| 3078F |
|
113 |
113 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
17 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
13 |
13 |
$0.00 |
| 3008F |
|
132 |
132 |
$0.00 |
| 3074F |
|
115 |
115 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |