| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
94 |
94 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
34 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
50 |
$4K |
| G9920 |
Screening performed and negative |
88 |
88 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
38 |
$2K |
| 99381 |
|
14 |
14 |
$2K |
| 92552 |
|
34 |
34 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
65 |
65 |
$1K |
| 90744 |
|
38 |
38 |
$342.00 |
| 90713 |
|
27 |
27 |
$243.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$222.72 |
| 90688 |
|
20 |
20 |
$180.00 |
| 90647 |
|
16 |
16 |
$144.00 |
| 90700 |
|
15 |
15 |
$135.00 |
| 90680 |
|
13 |
13 |
$117.00 |
| 90677 |
|
12 |
12 |
$108.00 |