| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,577 |
2,405 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
180 |
172 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
40 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
152 |
147 |
$2K |
| 99401 |
|
613 |
604 |
$711.19 |
| 82947 |
|
233 |
204 |
$644.99 |
| 99497 |
|
37 |
37 |
$634.03 |
| 99406 |
|
58 |
57 |
$590.33 |
| 90662 |
|
13 |
13 |
$515.17 |
| 90658 |
|
82 |
78 |
$480.58 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
27 |
$386.54 |
| 94760 |
|
3,074 |
2,772 |
$367.17 |
| 1159F |
|
769 |
718 |
$294.90 |
| 1160F |
|
768 |
717 |
$242.40 |
| 1126F |
|
83 |
81 |
$74.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
55 |
52 |
$48.25 |
| 3008F |
|
1,118 |
1,018 |
$0.05 |
| 99429 |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
106 |
105 |
$0.00 |
| 36410 |
|
18 |
18 |
$0.00 |