| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,005 |
922 |
$37K |
| 99205 |
Prolong outpt/office vis |
161 |
159 |
$13K |
| 99215 |
Prolong outpt/office vis |
212 |
204 |
$12K |
| 94760 |
|
1,641 |
1,423 |
$8K |
| 92552 |
|
311 |
307 |
$5K |
| 96127 |
|
369 |
366 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
28 |
28 |
$617.12 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
17 |
$460.54 |
| 90686 |
|
30 |
30 |
$451.05 |
| 90688 |
|
22 |
22 |
$356.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$145.85 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |