| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,772 |
4,267 |
$151K |
| 98928 |
|
305 |
236 |
$12K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
487 |
486 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
62 |
62 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
161 |
160 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
62 |
$5K |
| 92551 |
|
540 |
540 |
$3K |
| 99173 |
|
563 |
563 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90688 |
|
181 |
125 |
$1K |
| 90686 |
|
111 |
111 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
36 |
$385.00 |
| 96127 |
|
124 |
123 |
$266.20 |
| 1160F |
|
1,839 |
1,732 |
$0.00 |
| 1159F |
|
3,362 |
3,088 |
$0.00 |
| 96160 |
|
82 |
82 |
$0.00 |
| 1125F |
|
39 |
39 |
$0.00 |
| 90656 |
|
46 |
46 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |
| 1036F |
|
25 |
25 |
$0.00 |