| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,980 |
6,284 |
$15K |
| 90651 |
|
74 |
74 |
$12K |
| 90688 |
|
291 |
291 |
$2K |
| 90662 |
|
12 |
12 |
$828.00 |
| 90715 |
|
25 |
25 |
$673.20 |
| 93000 |
|
25 |
25 |
$660.10 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
72 |
$43.85 |
| 81025 |
|
33 |
32 |
$16.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
258 |
254 |
$12.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
546 |
518 |
$0.00 |
| 3078F |
|
236 |
236 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
60 |
$0.00 |
| 97803 |
|
309 |
309 |
$0.00 |
| 90756 |
|
24 |
24 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
73 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
168 |
168 |
$0.00 |
| 1003F |
|
225 |
225 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
488 |
488 |
$0.00 |
| 99442 |
|
46 |
45 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
146 |
146 |
$0.00 |
| 99173 |
|
183 |
183 |
$0.00 |
| 81002 |
|
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
122 |
122 |
$0.00 |
| 92551 |
|
185 |
185 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
108 |
$0.00 |
| 96156 |
|
588 |
567 |
$0.00 |
| 1111F |
|
18 |
17 |
$0.00 |
| 3074F |
|
222 |
222 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
24 |
24 |
$0.00 |
| 3008F |
|
43 |
43 |
$0.00 |
| 90686 |
|
31 |
31 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
40 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$0.00 |
| 99495 |
|
15 |
15 |
$0.00 |