| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,709 |
6,265 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
99 |
99 |
$423.70 |
| 99442 |
|
5,484 |
5,027 |
$402.00 |
| 90686 |
|
126 |
126 |
$346.00 |
| 92562 |
|
933 |
932 |
$243.84 |
| 90651 |
|
73 |
72 |
$141.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
315 |
313 |
$121.40 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$115.61 |
| 92552 |
|
134 |
132 |
$91.84 |
| 85018 |
|
1,215 |
1,193 |
$90.68 |
| 94760 |
|
1,104 |
1,064 |
$88.63 |
| 81002 |
|
991 |
989 |
$72.94 |
| 90734 |
|
12 |
12 |
$72.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
267 |
253 |
$29.38 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$22.96 |
| 81000 |
|
13 |
13 |
$5.10 |
| 81025 |
|
154 |
141 |
$2.52 |
| 3078F |
|
1,086 |
1,048 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
580 |
579 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
684 |
674 |
$0.00 |
| 99173 |
|
1,057 |
1,055 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
228 |
228 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |
| 3077F |
|
28 |
27 |
$0.00 |
| 1158F |
|
12 |
12 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| 3074F |
|
634 |
614 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
866 |
827 |
$0.00 |
| 3075F |
|
191 |
189 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,525 |
1,506 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
222 |
208 |
$0.00 |
| 99385 |
|
86 |
85 |
$0.00 |
| 99386 |
|
41 |
41 |
$0.00 |
| 3079F |
|
31 |
31 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |