| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,218 |
1,126 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
279 |
267 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
611 |
604 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
37 |
$4K |
| 90686 |
|
133 |
133 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
95 |
95 |
$1K |
| 96127 |
|
157 |
137 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
55 |
55 |
$707.15 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
77 |
77 |
$676.06 |
| 99173 |
|
25 |
25 |
$495.67 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
41 |
41 |
$368.60 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
27 |
27 |
$351.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$143.13 |
| 96160 |
|
52 |
52 |
$84.48 |