| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,668 |
8,163 |
$280K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,731 |
3,631 |
$177K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,030 |
2,000 |
$106K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
362 |
349 |
$31K |
| 99499 |
|
1,522 |
1,390 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
176 |
175 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
350 |
348 |
$15K |
| 99173 |
|
843 |
834 |
$5K |
| 92551 |
|
558 |
556 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
196 |
191 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$3K |
| 4010F |
|
254 |
248 |
$3K |
| 3078F |
|
246 |
235 |
$2K |
| 3074F |
|
130 |
128 |
$1K |
| 3077F |
|
91 |
90 |
$910.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
40 |
$840.00 |
| 3079F |
|
85 |
81 |
$790.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
63 |
63 |
$632.48 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
58 |
58 |
$593.84 |
| 90672 |
|
40 |
40 |
$389.99 |
| 90686 |
|
27 |
26 |
$339.27 |
| 90651 |
|
26 |
26 |
$130.00 |
| 3075F |
|
12 |
12 |
$120.00 |
| 90734 |
|
42 |
42 |
$120.00 |
| 1111F |
|
603 |
561 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |