| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
804 |
778 |
$25K |
| 0064A |
|
426 |
383 |
$12K |
| 0012A |
|
312 |
310 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61,827 |
54,518 |
$9K |
| 0011A |
|
325 |
324 |
$8K |
| 0072A |
|
206 |
206 |
$7K |
| 0071A |
|
198 |
195 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,601 |
5,540 |
$2K |
| 0003A |
|
77 |
74 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,079 |
3,270 |
$2K |
| 0124A |
|
47 |
35 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,771 |
3,089 |
$1K |
| 0013A |
|
19 |
19 |
$680.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
819 |
643 |
$547.79 |
| 0073A |
|
17 |
17 |
$520.00 |
| 90656 |
|
327 |
300 |
$518.41 |
| 0002A |
|
13 |
13 |
$360.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
178 |
172 |
$45.00 |
| 96127 |
|
266 |
246 |
$0.00 |
| 98962 |
|
280 |
260 |
$0.00 |
| 90660 |
|
51 |
51 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 99447 |
|
32 |
32 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 99411 |
|
592 |
479 |
$0.00 |
| 90734 |
|
46 |
46 |
$0.00 |
| 3725F |
|
943 |
833 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
380 |
299 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
43 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
79 |
78 |
$0.00 |
| 90649 |
|
35 |
35 |
$0.00 |
| 99408 |
|
12 |
12 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 96160 |
|
133 |
133 |
$0.00 |