| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,672 |
4,553 |
$2K |
| 96160 |
|
2,414 |
2,316 |
$522.05 |
| 99215 |
Prolong outpt/office vis |
844 |
816 |
$104.16 |
| 99401 |
|
964 |
911 |
$61.62 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
59 |
$45.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
514 |
453 |
$40.00 |
| 99205 |
Prolong outpt/office vis |
52 |
51 |
$35.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
453 |
434 |
$26.46 |
| 92551 |
|
272 |
271 |
$12.00 |
| 96127 |
|
658 |
623 |
$3.90 |
| 3008F |
|
130 |
122 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
260 |
254 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 99422 |
|
38 |
32 |
$0.00 |
| 96150 |
|
32 |
32 |
$0.00 |
| 3011F |
|
31 |
27 |
$0.00 |
| 99173 |
|
1,185 |
1,140 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
155 |
153 |
$0.00 |
| 99408 |
|
306 |
285 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
242 |
236 |
$0.00 |
| 3725F |
|
142 |
121 |
$0.00 |
| 99421 |
|
182 |
163 |
$0.00 |