| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
131 |
131 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
12 |
$406.41 |
| 99441 |
|
3,086 |
2,679 |
$364.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$170.26 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
211 |
196 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
950 |
856 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
103 |
83 |
$0.00 |
| 96127 |
|
355 |
314 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89 |
83 |
$0.00 |
| 86580 |
|
351 |
324 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,368 |
3,710 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
415 |
373 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
473 |
426 |
$0.00 |
| 83655 |
|
490 |
435 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
392 |
354 |
$0.00 |
| 80061 |
Lipid panel |
337 |
303 |
$0.00 |
| 99408 |
|
286 |
258 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
437 |
392 |
$0.00 |