| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,235 |
14,155 |
$86K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,091 |
1,088 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,049 |
7,034 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
391 |
390 |
$10K |
| 92551 |
|
975 |
975 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
460 |
457 |
$3K |
| 90658 |
|
512 |
508 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
83 |
$913.49 |
| 99386 |
|
27 |
27 |
$813.64 |
| 3008F |
|
4,499 |
3,857 |
$652.00 |
| 90651 |
|
122 |
122 |
$615.01 |
| 99385 |
|
25 |
25 |
$569.10 |
| 85018 |
|
711 |
700 |
$526.64 |
| 81002 |
|
394 |
394 |
$330.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
967 |
657 |
$278.46 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
53 |
$212.50 |
| 90734 |
|
56 |
56 |
$184.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
129 |
113 |
$167.17 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
69 |
69 |
$150.00 |
| 90620 |
|
12 |
12 |
$45.00 |
| 86580 |
|
13 |
13 |
$19.15 |
| 1160F |
|
140 |
140 |
$0.00 |
| 99173 |
|
225 |
225 |
$0.00 |
| 3078F |
|
2,087 |
1,954 |
$0.00 |
| 4004F |
|
59 |
59 |
$0.00 |
| 1159F |
|
139 |
139 |
$0.00 |
| 3077F |
|
624 |
589 |
$0.00 |
| 99442 |
|
290 |
288 |
$0.00 |
| 1158F |
|
99 |
99 |
$0.00 |
| 4013F |
|
50 |
47 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
39 |
39 |
$0.00 |
| 1090F |
|
101 |
101 |
$0.00 |
| 99401 |
|
21 |
21 |
$0.00 |
| 4274F |
|
58 |
58 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
47 |
47 |
$0.00 |
| 3288F |
|
16 |
16 |
$0.00 |
| 82274 |
|
17 |
17 |
$0.00 |
| 3079F |
|
1,353 |
1,290 |
$0.00 |
| 99441 |
|
753 |
696 |
$0.00 |
| 3074F |
|
2,752 |
2,545 |
$0.00 |
| 3080F |
|
505 |
480 |
$0.00 |
| 3075F |
|
564 |
549 |
$0.00 |
| 1000F |
|
32 |
32 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
59 |
59 |
$0.00 |
| 4245F |
|
117 |
117 |
$0.00 |
| 88150 |
|
25 |
25 |
$0.00 |
| 3061F |
|
30 |
30 |
$0.00 |
| 1125F |
|
45 |
45 |
$0.00 |
| 1126F |
|
47 |
47 |
$0.00 |
| 1101F |
|
118 |
118 |
$0.00 |
| 1170F |
|
110 |
110 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
50 |
50 |
$0.00 |
| 1036F |
|
17 |
17 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |