| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,948 |
3,596 |
$136K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,251 |
4,815 |
$111K |
| 96156 |
|
1,727 |
1,717 |
$37K |
| 92552 |
|
2,617 |
2,609 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,054 |
1,841 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
391 |
390 |
$14K |
| 96151 |
|
686 |
685 |
$12K |
| 99000 |
|
4,148 |
4,009 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
231 |
230 |
$10K |
| 96127 |
|
1,283 |
1,269 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
115 |
115 |
$8K |
| 99173 |
|
2,437 |
2,435 |
$6K |
| 93000 |
|
224 |
223 |
$4K |
| H0049 |
Alcohol and/or drug screening |
74 |
73 |
$3K |
| 99385 |
|
13 |
13 |
$833.30 |
| 99451 |
|
12 |
12 |
$551.60 |
| 96150 |
|
31 |
31 |
$427.85 |
| 90688 |
|
17 |
17 |
$401.71 |
| 90686 |
|
15 |
15 |
$352.35 |
| 85018 |
|
152 |
151 |
$196.43 |
| 81002 |
|
47 |
42 |
$123.82 |
| 3079F |
|
1,112 |
1,055 |
$50.00 |
| 3078F |
|
2,338 |
2,198 |
$50.00 |
| 3074F |
|
3,450 |
3,163 |
$25.00 |
| 1125F |
|
189 |
188 |
$0.00 |
| 3075F |
|
28 |
27 |
$0.00 |
| 3008F |
|
1,784 |
1,778 |
$0.00 |
| 1220F |
|
1,317 |
1,314 |
$0.00 |
| 1126F |
|
348 |
347 |
$0.00 |
| 1170F |
|
97 |
95 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |
| 3080F |
|
15 |
15 |
$0.00 |
| 3077F |
|
102 |
99 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |