| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,607 |
1,295 |
$379K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,418 |
1,206 |
$235K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,590 |
2,211 |
$157K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,607 |
1,439 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,891 |
9,932 |
$60K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,032 |
2,032 |
$26K |
| 99000 |
|
3,037 |
3,036 |
$11K |
| 99384 |
|
13 |
13 |
$2K |
| 92551 |
|
139 |
139 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
217 |
212 |
$1K |
| 90715 |
|
30 |
29 |
$1K |
| 92557 |
|
1,074 |
1,057 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
163 |
160 |
$831.60 |
| 90658 |
|
30 |
30 |
$503.82 |
| 85018 |
|
1,310 |
1,295 |
$423.79 |
| 81025 |
|
152 |
152 |
$340.85 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
71 |
71 |
$326.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
42 |
$259.37 |
| 81000 |
|
117 |
117 |
$239.19 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
65 |
$101.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
119 |
105 |
$57.46 |
| 81002 |
|
1,069 |
1,051 |
$22.62 |
| 99173 |
|
461 |
454 |
$7.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
293 |
292 |
$3.96 |
| 3008F |
|
491 |
484 |
$0.00 |
| 88141 |
|
30 |
29 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
21 |
21 |
$0.00 |
| 3088F |
|
285 |
284 |
$0.00 |
| G9920 |
Screening performed and negative |
103 |
103 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |