| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,885 |
1,774 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
317 |
270 |
$869.72 |
| 92552 |
|
563 |
560 |
$150.57 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
43 |
$92.61 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
48 |
$43.85 |
| 92081 |
|
107 |
107 |
$32.95 |
| 92551 |
|
108 |
108 |
$21.33 |
| 99173 |
|
306 |
305 |
$16.65 |
| 85018 |
|
349 |
347 |
$12.42 |
| 86580 |
|
149 |
149 |
$9.74 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
560 |
549 |
$0.08 |
| 81002 |
|
70 |
68 |
$0.00 |
| 3078F |
|
697 |
654 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
62 |
62 |
$0.00 |
| 1160F |
|
831 |
787 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
121 |
121 |
$0.00 |
| 3725F |
|
225 |
223 |
$0.00 |
| 1159F |
|
594 |
570 |
$0.00 |
| 3288F |
|
400 |
391 |
$0.00 |
| 3077F |
|
142 |
135 |
$0.00 |
| 0521F |
|
139 |
139 |
$0.00 |
| 4004F |
|
15 |
15 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$0.00 |
| 3075F |
|
27 |
26 |
$0.00 |
| 1170F |
|
444 |
415 |
$0.00 |
| 1126F |
|
613 |
597 |
$0.00 |
| 3080F |
|
134 |
122 |
$0.00 |
| 3008F |
|
1,454 |
1,352 |
$0.00 |
| 1111F |
|
495 |
484 |
$0.00 |
| 3079F |
|
175 |
169 |
$0.00 |
| 3074F |
|
916 |
857 |
$0.00 |
| 1101F |
|
186 |
186 |
$0.00 |
| 81000 |
|
90 |
90 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
46 |
46 |
$0.00 |
| 1125F |
|
73 |
66 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
88 |
88 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
15 |
$0.00 |
| 94760 |
|
13 |
13 |
$0.00 |