| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,010 |
853 |
$51K |
| 99401 |
|
588 |
499 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
343 |
299 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
99 |
80 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
104 |
89 |
$5K |
| 99385 |
|
61 |
53 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
87 |
$3K |
| 99386 |
|
17 |
13 |
$1K |
| 96160 |
|
159 |
140 |
$655.93 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
122 |
76 |
$555.91 |
| 90673 |
|
56 |
29 |
$500.94 |
| 99051 |
|
32 |
27 |
$392.60 |
| 0513F |
|
102 |
83 |
$280.00 |
| 99407 |
|
17 |
13 |
$230.03 |
| 98960 |
|
182 |
113 |
$162.99 |
| 3074F |
|
268 |
213 |
$105.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
16 |
$102.90 |
| 3078F |
|
211 |
165 |
$100.00 |
| 3079F |
|
279 |
230 |
$95.00 |
| 3077F |
|
212 |
177 |
$85.00 |
| 3075F |
|
191 |
150 |
$65.00 |
| 3080F |
|
181 |
149 |
$60.00 |
| 94760 |
|
111 |
90 |
$14.64 |
| 3016F |
|
305 |
259 |
$0.00 |
| 1036F |
|
230 |
194 |
$0.00 |
| 1000F |
|
304 |
258 |
$0.00 |
| 1034F |
|
50 |
40 |
$0.00 |
| 4000F |
|
50 |
40 |
$0.00 |
| 97802 |
|
50 |
43 |
$0.00 |