| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,229 |
1,206 |
$2K |
| 90686 |
|
322 |
320 |
$1K |
| 92551 |
|
251 |
251 |
$802.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,526 |
1,450 |
$457.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
960 |
931 |
$431.22 |
| 90662 |
|
12 |
12 |
$150.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
245 |
237 |
$134.46 |
| 99442 |
|
30 |
27 |
$8.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
14 |
13 |
$3.21 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
124 |
120 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
90 |
$0.00 |
| 96160 |
|
182 |
182 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 99173 |
|
44 |
44 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
296 |
296 |
$0.00 |
| 3008F |
|
391 |
388 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90656 |
|
118 |
118 |
$0.00 |
| 3079F |
|
18 |
17 |
$0.00 |
| 3075F |
|
29 |
29 |
$0.00 |