| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,037 |
2,818 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
333 |
333 |
$940.62 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,776 |
1,670 |
$749.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
143 |
140 |
$485.64 |
| 92552 |
|
275 |
274 |
$320.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
253 |
252 |
$299.00 |
| 99000 |
|
2,093 |
2,002 |
$240.51 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
17 |
$187.50 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
214 |
214 |
$140.82 |
| 99215 |
Prolong outpt/office vis |
629 |
619 |
$79.44 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,128 |
1,924 |
$52.62 |
| 85018 |
|
871 |
868 |
$38.95 |
| 81003 |
|
159 |
156 |
$36.86 |
| 81005 |
|
846 |
841 |
$21.00 |
| 99173 |
|
1,268 |
1,260 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
360 |
212 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
479 |
478 |
$0.00 |
| 82465 |
|
922 |
913 |
$0.00 |
| 97803 |
|
293 |
282 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
39 |
39 |
$0.00 |
| 81007 |
|
53 |
52 |
$0.00 |
| 83026 |
|
50 |
50 |
$0.00 |
| 3077F |
|
28 |
28 |
$0.00 |
| 92551 |
|
860 |
847 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
390 |
389 |
$0.00 |
| 99441 |
|
381 |
347 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
875 |
867 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |