| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,296 |
2,809 |
$572K |
| D0999 |
Unspecified diagnostic procedure, by report |
792 |
430 |
$198K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
399 |
364 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
167 |
150 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
46 |
46 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
38 |
26 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
24 |
$5K |
| D1110 |
Prophylaxis - adult |
64 |
44 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
118 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
23 |
12 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
42 |
31 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$838.36 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55 |
47 |
$209.59 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
606 |
546 |
$0.00 |
| 90688 |
|
119 |
109 |
$0.00 |
| 90686 |
|
14 |
13 |
$0.00 |
| 80305 |
|
15 |
15 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
29 |
26 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |
| 81025 |
|
16 |
14 |
$0.00 |