| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,870 |
4,401 |
$208K |
| 92081 |
|
1,759 |
1,755 |
$98K |
| 92552 |
|
1,683 |
1,681 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
460 |
460 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
446 |
446 |
$27K |
| 99451 |
|
459 |
427 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,218 |
4,043 |
$25K |
| 86580 |
|
1,761 |
1,757 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
82 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,282 |
1,265 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
316 |
316 |
$7K |
| 0071A |
|
130 |
130 |
$5K |
| 0072A |
|
129 |
129 |
$5K |
| 85018 |
|
1,864 |
1,864 |
$5K |
| 81002 |
|
1,695 |
1,691 |
$5K |
| 0003A |
|
61 |
61 |
$2K |
| 0001A |
|
48 |
48 |
$2K |
| 0002A |
|
43 |
43 |
$2K |
| 90688 |
|
867 |
866 |
$2K |
| 90656 |
|
145 |
145 |
$1K |
| 0073A |
|
26 |
26 |
$1K |
| 90686 |
|
30 |
30 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$793.79 |
| 90621 |
|
127 |
127 |
$786.84 |
| 90480 |
|
28 |
28 |
$620.00 |
| 0081A |
|
13 |
13 |
$520.00 |
| 0154A |
|
12 |
12 |
$480.00 |
| 0083A |
|
12 |
12 |
$480.00 |
| 90685 |
|
111 |
111 |
$132.84 |
| 90672 |
|
197 |
197 |
$81.48 |
| 99443 |
|
68 |
66 |
$68.00 |
| 90715 |
|
13 |
13 |
$50.36 |
| 99188 |
|
29 |
29 |
$44.28 |
| 90744 |
|
158 |
158 |
$33.21 |
| 90734 |
|
18 |
18 |
$11.07 |