| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,439 |
7,553 |
$56K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,568 |
1,563 |
$51K |
| 99050 |
|
4,597 |
4,346 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
501 |
497 |
$11K |
| 93000 |
|
671 |
669 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
885 |
846 |
$6K |
| 0004A |
|
87 |
80 |
$3K |
| 90688 |
|
276 |
274 |
$3K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
226 |
226 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
814 |
798 |
$3K |
| 90686 |
|
251 |
250 |
$2K |
| 0064A |
|
41 |
38 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$796.84 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
173 |
173 |
$725.00 |
| 0001A |
|
26 |
18 |
$590.00 |
| 0002A |
|
20 |
17 |
$560.00 |
| 99000 |
|
156 |
155 |
$535.38 |
| 0071A |
|
12 |
12 |
$480.00 |
| 92551 |
|
41 |
41 |
$195.56 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$179.70 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
557 |
556 |
$30.07 |
| 99173 |
|
56 |
56 |
$25.04 |
| 96127 |
|
80 |
80 |
$24.76 |
| 3008F |
|
1,532 |
1,495 |
$0.00 |
| 3074F |
|
50 |
50 |
$0.00 |
| 3078F |
|
83 |
81 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
40 |
$0.00 |