| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
186 |
143 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
123 |
94 |
$7K |
| 90680 |
|
60 |
49 |
$5K |
| 99381 |
|
43 |
43 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
698 |
588 |
$2K |
| 90648 |
|
89 |
89 |
$801.00 |
| 90670 |
|
89 |
89 |
$801.00 |
| 90700 |
|
81 |
81 |
$729.00 |
| 90713 |
|
75 |
75 |
$675.00 |
| 90744 |
|
28 |
28 |
$252.00 |
| 3008F |
|
36 |
36 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
34 |
34 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
191 |
179 |
$0.00 |
| 97802 |
|
213 |
210 |
$0.00 |
| 1220F |
|
14 |
14 |
$0.00 |
| 92551 |
|
170 |
167 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
40 |
$0.00 |
| 92081 |
|
170 |
167 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
64 |
63 |
$0.00 |
| 97803 |
|
19 |
19 |
$0.00 |