| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,971 |
2,490 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,405 |
1,187 |
$89K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
375 |
351 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
254 |
242 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
201 |
184 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
153 |
142 |
$9K |
| 90686 |
|
233 |
200 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
48 |
48 |
$3K |
| 99497 |
|
127 |
109 |
$3K |
| 99397 |
|
150 |
120 |
$3K |
| 99000 |
|
1,297 |
1,156 |
$3K |
| 90656 |
|
155 |
150 |
$2K |
| 96127 |
|
465 |
430 |
$2K |
| 90619 |
|
95 |
89 |
$1K |
| 90651 |
|
88 |
83 |
$1K |
| 90715 |
|
33 |
29 |
$441.60 |
| 81002 |
|
234 |
193 |
$348.87 |
| 90633 |
|
13 |
13 |
$204.90 |
| 90710 |
|
12 |
12 |
$189.00 |
| 96160 |
|
52 |
46 |
$156.62 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
208 |
180 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
204 |
178 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
233 |
198 |
$0.00 |