| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,792 |
3,483 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
453 |
453 |
$32K |
| 99381 |
|
227 |
227 |
$26K |
| 92552 |
|
1,254 |
1,254 |
$13K |
| 99462 |
|
495 |
237 |
$9K |
| 99460 |
|
220 |
220 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
310 |
310 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
153 |
153 |
$3K |
| 90670 |
|
400 |
400 |
$3K |
| 90698 |
|
259 |
259 |
$2K |
| 90680 |
|
227 |
227 |
$2K |
| 90744 |
|
115 |
115 |
$828.00 |
| 90677 |
|
153 |
153 |
$765.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
62 |
$632.50 |
| 90686 |
|
82 |
82 |
$630.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$425.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$253.70 |
| 90633 |
|
41 |
41 |
$225.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
29 |
$137.76 |
| 90651 |
|
29 |
29 |
$126.00 |
| 90734 |
|
30 |
30 |
$117.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$112.50 |
| 90672 |
|
15 |
15 |
$72.00 |
| 96127 |
|
240 |
239 |
$62.28 |
| 90715 |
|
18 |
18 |
$45.00 |
| 3008F |
|
256 |
256 |
$6.00 |
| 99173 |
|
666 |
666 |
$2.28 |
| S9451 |
Exercise classes, non-physician provider, per session |
420 |
420 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
390 |
390 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
194 |
194 |
$0.00 |
| 97802 |
|
30 |
30 |
$0.00 |
| 1160F |
|
256 |
256 |
$0.00 |
| 1159F |
|
256 |
256 |
$0.00 |
| 3725F |
|
257 |
257 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 83026 |
|
142 |
142 |
$0.00 |