| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
5,606 |
5,322 |
$16K |
| 99205 |
Prolong outpt/office vis |
170 |
170 |
$439.58 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,269 |
1,256 |
$200.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$70.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
77 |
$0.05 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
250 |
245 |
$0.02 |
| 3078F |
|
372 |
369 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
236 |
236 |
$0.00 |
| 3077F |
|
81 |
80 |
$0.00 |
| 99442 |
|
69 |
66 |
$0.00 |
| 99397 |
|
202 |
200 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
646 |
645 |
$0.00 |
| 3075F |
|
349 |
343 |
$0.00 |
| 99386 |
|
55 |
55 |
$0.00 |
| 3008F |
|
740 |
731 |
$0.00 |
| 3072F |
|
32 |
32 |
$0.00 |
| 3079F |
|
381 |
376 |
$0.00 |
| 3074F |
|
252 |
250 |
$0.00 |
| 99441 |
|
15 |
14 |
$0.00 |
| 3080F |
|
20 |
17 |
$0.00 |
| 1157F |
|
12 |
12 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| 99385 |
|
14 |
14 |
$0.00 |
| 1101F |
|
27 |
27 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |