| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,585 |
2,657 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
766 |
609 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
41 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
28 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
39 |
$4K |
| 90686 |
|
130 |
74 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90688 |
|
55 |
34 |
$637.52 |
| 96127 |
|
36 |
27 |
$512.57 |
| 99173 |
|
62 |
25 |
$458.69 |
| 1160F |
|
2,386 |
1,492 |
$1.06 |
| 3074F |
|
1,893 |
1,271 |
$0.67 |
| 1159F |
|
2,173 |
1,296 |
$0.00 |
| 1126F |
|
1,838 |
1,217 |
$0.00 |
| 3008F |
|
2,498 |
1,686 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
23 |
17 |
$0.00 |
| 3075F |
|
17 |
16 |
$0.00 |