| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,806 |
1,544 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
150 |
126 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
52 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,102 |
913 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34 |
28 |
$2K |
| 90686 |
|
113 |
101 |
$1K |
| 92551 |
|
144 |
124 |
$1K |
| 90461 |
|
91 |
72 |
$200.30 |
| 90677 |
|
13 |
13 |
$132.00 |
| 96127 |
|
24 |
24 |
$112.24 |
| 99173 |
|
61 |
55 |
$108.68 |
| 96160 |
|
92 |
83 |
$23.44 |
| 99072 |
|
5,442 |
4,279 |
$9.03 |
| G9920 |
Screening performed and negative |
68 |
65 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
12 |
$0.00 |