| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,329 |
1,281 |
$2K |
| 92551 |
|
221 |
220 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
254 |
238 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
27 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,116 |
1,103 |
$694.19 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$116.02 |
| G9920 |
Screening performed and negative |
468 |
462 |
$87.00 |
| 90686 |
|
12 |
12 |
$62.36 |
| 90670 |
|
12 |
12 |
$48.94 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
162 |
157 |
$41.40 |
| 3079F |
|
940 |
924 |
$0.00 |
| 99441 |
|
89 |
85 |
$0.00 |
| 3075F |
|
161 |
158 |
$0.00 |
| 3008F |
|
2,151 |
2,096 |
$0.00 |
| 3080F |
|
63 |
62 |
$0.00 |
| 3074F |
|
1,034 |
1,018 |
$0.00 |
| 97802 |
|
138 |
137 |
$0.00 |
| 1036F |
|
100 |
100 |
$0.00 |
| 3351F |
|
12 |
12 |
$0.00 |
| 1220F |
|
34 |
34 |
$0.00 |
| 99173 |
|
783 |
778 |
$0.00 |
| 3077F |
|
122 |
121 |
$0.00 |
| 3078F |
|
393 |
386 |
$0.00 |
| 99408 |
|
134 |
134 |
$0.00 |
| 97803 |
|
25 |
25 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$0.00 |