| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,087 |
3,307 |
$225K |
| 99215 |
Prolong outpt/office vis |
275 |
250 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
397 |
372 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
261 |
260 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,145 |
1,029 |
$12K |
| 92552 |
|
1,017 |
986 |
$12K |
| 99242 |
|
82 |
82 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
81 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
405 |
400 |
$3K |
| 90686 |
|
137 |
133 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$550.00 |
| 99058 |
|
45 |
43 |
$0.00 |
| 99051 |
|
237 |
229 |
$0.00 |
| 99173 |
|
924 |
899 |
$0.00 |