| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92553 |
|
196 |
196 |
$4K |
| 92560 |
|
319 |
316 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,519 |
1,505 |
$479.08 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
913 |
903 |
$89.10 |
| 94760 |
|
2,498 |
2,469 |
$75.92 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$56.63 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$40.72 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
184 |
$37.12 |
| 82274 |
|
77 |
77 |
$14.15 |
| 82947 |
|
362 |
362 |
$9.65 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
810 |
810 |
$0.54 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
141 |
141 |
$0.01 |
| 1159F |
|
959 |
951 |
$0.00 |
| 1158F |
|
452 |
452 |
$0.00 |
| 1160F |
|
958 |
950 |
$0.00 |
| 3725F |
|
610 |
610 |
$0.00 |
| 3078F |
|
1,049 |
1,039 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
229 |
229 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
50 |
50 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
202 |
201 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$0.00 |
| 0521F |
|
178 |
176 |
$0.00 |
| 3077F |
|
71 |
70 |
$0.00 |
| 99173 |
|
86 |
86 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$0.00 |
| 1157F |
|
452 |
452 |
$0.00 |
| 1036F |
|
770 |
770 |
$0.00 |
| 1126F |
|
677 |
674 |
$0.00 |
| 1031F |
|
308 |
308 |
$0.00 |
| 3044F |
|
505 |
505 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
469 |
467 |
$0.00 |
| 3074F |
|
950 |
942 |
$0.00 |
| 3048F |
|
133 |
132 |
$0.00 |
| 3008F |
|
817 |
806 |
$0.00 |
| 3351F |
|
54 |
54 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
76 |
75 |
$0.00 |
| 3079F |
|
100 |
100 |
$0.00 |
| 3014F |
|
37 |
37 |
$0.00 |
| 99496 |
|
19 |
19 |
$0.00 |
| 1125F |
|
183 |
180 |
$0.00 |
| 3061F |
|
14 |
14 |
$0.00 |
| 3049F |
|
27 |
27 |
$0.00 |
| 3075F |
|
43 |
43 |
$0.00 |