| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,148 |
3,600 |
$61K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,813 |
2,466 |
$57K |
| Z1034 |
|
310 |
203 |
$17K |
| 96156 |
|
595 |
591 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
532 |
496 |
$8K |
| 92552 |
|
1,114 |
1,110 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
138 |
135 |
$5K |
| Z6412 |
|
220 |
149 |
$2K |
| 96151 |
|
456 |
451 |
$2K |
| 99000 |
|
1,217 |
1,178 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$2K |
| 85018 |
|
1,073 |
1,024 |
$954.10 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
315 |
310 |
$777.30 |
| 90688 |
|
76 |
76 |
$611.31 |
| 90686 |
|
199 |
197 |
$583.50 |
| 99173 |
|
860 |
857 |
$437.94 |
| 99451 |
|
43 |
39 |
$311.04 |
| 90756 |
|
32 |
32 |
$215.84 |
| 96127 |
|
231 |
230 |
$110.63 |
| 3008F |
|
436 |
419 |
$108.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$84.24 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$37.02 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$27.00 |
| 86580 |
|
13 |
13 |
$13.44 |
| 3078F |
|
332 |
304 |
$0.00 |
| 3077F |
|
104 |
90 |
$0.00 |
| 3079F |
|
158 |
143 |
$0.00 |
| 1220F |
|
168 |
167 |
$0.00 |
| 3074F |
|
405 |
369 |
$0.00 |
| 1126F |
|
28 |
28 |
$0.00 |
| 1170F |
|
14 |
14 |
$0.00 |