| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,458 |
5,630 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,484 |
1,407 |
$59K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,842 |
2,827 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,168 |
1,168 |
$45K |
| 92081 |
|
3,097 |
3,086 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
967 |
965 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
606 |
604 |
$24K |
| 92551 |
|
3,685 |
3,675 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
660 |
654 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
145 |
143 |
$3K |
| 96160 |
|
104 |
103 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
117 |
116 |
$1K |
| 0072A |
|
35 |
35 |
$1K |
| 0071A |
|
23 |
23 |
$861.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
615 |
598 |
$642.38 |
| 90791 |
Psychiatric diagnostic evaluation |
66 |
65 |
$450.00 |
| 0011A |
|
12 |
12 |
$422.43 |
| 36410 |
|
117 |
116 |
$409.58 |
| 90658 |
|
282 |
280 |
$281.78 |
| 99173 |
|
62 |
62 |
$211.02 |
| 90686 |
|
55 |
55 |
$107.62 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
132 |
127 |
$72.62 |
| 90619 |
|
29 |
29 |
$50.00 |
| 90688 |
|
12 |
12 |
$26.14 |
| 90660 |
|
17 |
17 |
$15.25 |
| 90651 |
|
13 |
13 |
$0.00 |
| 97802 |
|
55 |
54 |
$0.00 |
| 3725F |
|
170 |
170 |
$0.00 |