| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,752 |
1,528 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
676 |
623 |
$68K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
318 |
308 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$3K |
| 93000 |
|
156 |
150 |
$2K |
| 90756 |
|
45 |
43 |
$1K |
| 0011A |
|
23 |
22 |
$627.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$624.58 |
| 0012A |
|
42 |
30 |
$508.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$256.08 |
| 90674 |
|
15 |
15 |
$204.61 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
166 |
146 |
$63.78 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
123 |
105 |
$47.90 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
111 |
111 |
$34.00 |
| 99401 |
|
62 |
59 |
$0.00 |
| 91301 |
|
119 |
81 |
$0.00 |