| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,232 |
5,445 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,628 |
3,184 |
$124K |
| 99215 |
Prolong outpt/office vis |
346 |
346 |
$43K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
372 |
364 |
$27K |
| 92552 |
|
551 |
548 |
$8K |
| 96156 |
|
1,104 |
1,082 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
123 |
123 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
247 |
211 |
$4K |
| 96151 |
|
273 |
272 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
62 |
57 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
53 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
44 |
$2K |
| 90686 |
|
236 |
235 |
$2K |
| 85018 |
|
553 |
548 |
$2K |
| 96150 |
|
87 |
87 |
$2K |
| 92551 |
|
106 |
104 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
191 |
111 |
$1K |
| 81002 |
|
598 |
585 |
$862.16 |
| 90657 |
|
93 |
93 |
$802.69 |
| 99401 |
|
91 |
90 |
$694.06 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$683.62 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$678.84 |
| 4037F |
|
19 |
19 |
$648.58 |
| 3008F |
|
1,471 |
1,453 |
$507.77 |
| 90651 |
|
12 |
12 |
$330.64 |
| 85999 |
|
110 |
110 |
$328.09 |
| 99173 |
|
162 |
161 |
$311.84 |
| 1159F |
|
670 |
659 |
$276.67 |
| 81000 |
|
95 |
95 |
$269.78 |
| 99188 |
|
13 |
13 |
$260.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$183.96 |
| 1170F |
|
1,000 |
987 |
$169.97 |
| 90688 |
|
23 |
23 |
$163.70 |
| 1160F |
|
703 |
692 |
$19.18 |
| 3061F |
|
614 |
607 |
$0.00 |
| 1126F |
|
836 |
825 |
$0.00 |
| 3074F |
|
694 |
685 |
$0.00 |
| 3079F |
|
127 |
124 |
$0.00 |
| 1157F |
|
210 |
205 |
$0.00 |
| 3044F |
|
47 |
47 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
12 |
$0.00 |
| 1158F |
|
485 |
478 |
$0.00 |
| 3078F |
|
603 |
595 |
$0.00 |
| 3077F |
|
41 |
40 |
$0.00 |