| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,198 |
11,969 |
$38K |
| 92552 |
|
1,142 |
1,139 |
$5K |
| 0071A |
|
111 |
106 |
$4K |
| 0001A |
|
110 |
96 |
$3K |
| 0072A |
|
80 |
75 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
168 |
167 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
240 |
238 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
554 |
548 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
83 |
$2K |
| 0002A |
|
54 |
47 |
$2K |
| 0004A |
|
45 |
43 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
710 |
703 |
$1K |
| 90686 |
|
344 |
342 |
$1K |
| 93000 |
|
338 |
336 |
$1K |
| 99173 |
|
916 |
914 |
$982.64 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
54 |
$798.99 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
118 |
118 |
$711.45 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
69 |
68 |
$370.11 |
| 90688 |
|
141 |
141 |
$288.16 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
67 |
67 |
$234.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
173 |
155 |
$188.75 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$174.20 |
| 90651 |
|
28 |
28 |
$158.00 |
| 90715 |
|
16 |
16 |
$133.00 |
| 3008F |
|
1,988 |
1,980 |
$112.00 |
| 90734 |
|
14 |
14 |
$82.00 |
| 90461 |
|
110 |
108 |
$20.00 |
| 96127 |
|
202 |
200 |
$19.24 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
525 |
524 |
$0.13 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
290 |
287 |
$0.05 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |