| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,216 |
3,036 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,108 |
1,067 |
$60K |
| 96156 |
|
995 |
991 |
$34K |
| G9920 |
Screening performed and negative |
731 |
731 |
$19K |
| 99215 |
Prolong outpt/office vis |
56 |
45 |
$5K |
| 96151 |
|
171 |
171 |
$4K |
| 90686 |
|
184 |
182 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
158 |
158 |
$2K |
| 96127 |
|
431 |
431 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
39 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$673.20 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$611.45 |
| 99173 |
|
43 |
41 |
$397.55 |
| 92552 |
|
18 |
12 |
$280.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
35 |
$272.77 |
| 3074F |
|
83 |
82 |
$253.53 |
| 1170F |
|
76 |
76 |
$73.71 |
| 1159F |
|
76 |
76 |
$55.53 |
| 1160F |
|
76 |
76 |
$16.16 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3078F |
|
79 |
78 |
$0.00 |