| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
844 |
800 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
132 |
132 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
108 |
108 |
$486.07 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
105 |
105 |
$336.25 |
| 92551 |
|
234 |
234 |
$318.52 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
57 |
$269.34 |
| 92552 |
|
96 |
96 |
$116.83 |
| 85018 |
|
369 |
368 |
$102.25 |
| 81000 |
|
221 |
221 |
$80.26 |
| 3008F |
|
542 |
542 |
$45.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
230 |
230 |
$32.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
71 |
$22.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
70 |
$19.75 |
| 99441 |
|
38 |
36 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
315 |
315 |
$0.00 |
| 3074F |
|
18 |
17 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |
| 90656 |
|
46 |
46 |
$0.00 |
| 99173 |
|
313 |
313 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
139 |
138 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
58 |
58 |
$0.00 |
| 90461 |
|
47 |
47 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
317 |
317 |
$0.00 |
| 81002 |
|
37 |
37 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
21 |
$0.00 |
| 3078F |
|
15 |
14 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
27 |
$0.00 |
| 83026 |
|
17 |
17 |
$0.00 |