| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,314 |
4,095 |
$0.00 |
| 85014 |
|
3,557 |
3,534 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
141 |
138 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
976 |
973 |
$0.00 |
| 92552 |
|
2,724 |
2,705 |
$0.00 |
| 81002 |
|
287 |
284 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
212 |
211 |
$0.00 |
| 90670 |
|
329 |
320 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
154 |
154 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
491 |
490 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
649 |
646 |
$0.00 |
| 99173 |
|
2,705 |
2,686 |
$0.00 |
| 90648 |
|
187 |
186 |
$0.00 |
| 83655 |
|
225 |
224 |
$0.00 |
| 90734 |
|
70 |
70 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
39 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
43 |
42 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
237 |
231 |
$0.00 |
| 90715 |
|
40 |
40 |
$0.00 |
| 90707 |
|
123 |
123 |
$0.00 |
| 90633 |
|
94 |
94 |
$0.00 |
| 90672 |
|
28 |
28 |
$0.00 |
| 3078F |
|
650 |
636 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
135 |
135 |
$0.00 |
| 3077F |
|
45 |
44 |
$0.00 |
| 90658 |
|
147 |
147 |
$0.00 |
| 90655 |
|
12 |
12 |
$0.00 |
| 90461 |
|
16 |
16 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,207 |
6,739 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
205 |
205 |
$0.00 |
| 3074F |
|
661 |
647 |
$0.00 |
| 90686 |
|
1,325 |
1,319 |
$0.00 |
| 81000 |
|
220 |
216 |
$0.00 |
| 90651 |
|
206 |
206 |
$0.00 |
| 90716 |
|
144 |
144 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
427 |
409 |
$0.00 |
| 96127 |
|
85 |
85 |
$0.00 |
| 90723 |
|
76 |
76 |
$0.00 |
| 90697 |
|
30 |
28 |
$0.00 |
| 90656 |
|
36 |
36 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$0.00 |
| 90647 |
|
18 |
18 |
$0.00 |