| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
664 |
639 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,229 |
28,608 |
$1K |
| 99441 |
|
634 |
567 |
$154.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
194 |
176 |
$24.00 |
| 3078F |
|
12,164 |
9,547 |
$0.00 |
| 3077F |
|
2,476 |
2,025 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
301 |
204 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,676 |
1,864 |
$0.00 |
| 99442 |
|
95 |
88 |
$0.00 |
| 90630 |
|
49 |
49 |
$0.00 |
| 96160 |
|
124 |
123 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
398 |
250 |
$0.00 |
| 99348 |
|
401 |
339 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,300 |
868 |
$0.00 |
| 0071A |
|
12 |
12 |
$0.00 |
| 1160F |
|
55 |
32 |
$0.00 |
| 99382 |
|
37 |
33 |
$0.00 |
| 1158F |
|
68 |
45 |
$0.00 |
| 1159F |
|
55 |
32 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$0.00 |
| 3074F |
|
10,479 |
8,142 |
$0.00 |
| 3079F |
|
2,609 |
2,022 |
$0.00 |
| 3008F |
|
14,281 |
11,167 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
716 |
524 |
$0.00 |
| 3075F |
|
2,641 |
2,058 |
$0.00 |
| 3044F |
|
559 |
393 |
$0.00 |
| 99443 |
|
404 |
376 |
$0.00 |
| 1126F |
|
361 |
250 |
$0.00 |
| 99385 |
|
32 |
31 |
$0.00 |
| 3048F |
|
286 |
190 |
$0.00 |
| 1125F |
|
59 |
45 |
$0.00 |
| 3080F |
|
260 |
173 |
$0.00 |
| 3061F |
|
338 |
244 |
$0.00 |
| 3017F |
|
268 |
183 |
$0.00 |
| 99384 |
|
227 |
175 |
$0.00 |
| 3049F |
|
59 |
39 |
$0.00 |
| 99383 |
|
192 |
158 |
$0.00 |
| 1157F |
|
68 |
45 |
$0.00 |
| 2010F |
|
35 |
29 |
$0.00 |
| 99381 |
|
19 |
16 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |
| 1170F |
|
56 |
33 |
$0.00 |