| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,389 |
8,723 |
$325K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,997 |
4,368 |
$210K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,130 |
1,038 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
162 |
160 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
574 |
479 |
$9K |
| 99051 |
|
581 |
538 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
127 |
126 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
118 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
254 |
248 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
68 |
55 |
$4K |
| 90686 |
|
809 |
651 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$1K |
| 99499 |
|
73 |
62 |
$735.00 |
| 90473 |
|
70 |
70 |
$730.10 |
| 90674 |
|
16 |
14 |
$240.51 |
| G0008 |
Administration of influenza virus vaccine |
674 |
506 |
$0.00 |
| 90647 |
|
69 |
69 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
138 |
120 |
$0.00 |
| 90680 |
|
58 |
58 |
$0.00 |
| 90723 |
|
29 |
29 |
$0.00 |
| 1160F |
|
4,000 |
3,208 |
$0.00 |
| 90662 |
|
163 |
120 |
$0.00 |
| 90685 |
|
15 |
14 |
$0.00 |
| 90670 |
|
119 |
119 |
$0.00 |
| 3288F |
|
102 |
80 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90633 |
|
58 |
57 |
$0.00 |
| 90710 |
|
41 |
41 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
115 |
94 |
$0.00 |
| 1159F |
|
16 |
15 |
$0.00 |