| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
925 |
805 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,021 |
891 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
361 |
304 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
199 |
164 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
162 |
139 |
$11K |
| 90686 |
|
597 |
524 |
$8K |
| 96127 |
|
489 |
418 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
25 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
175 |
158 |
$3K |
| 99215 |
Prolong outpt/office vis |
29 |
26 |
$2K |
| 90677 |
|
65 |
59 |
$2K |
| 99383 |
|
13 |
13 |
$1K |
| 90656 |
|
65 |
59 |
$1K |
| 90670 |
|
65 |
63 |
$1K |
| 90672 |
|
86 |
80 |
$999.94 |
| 90660 |
|
42 |
41 |
$709.15 |
| 90633 |
|
31 |
26 |
$524.22 |
| 90680 |
|
37 |
26 |
$393.90 |
| 83655 |
|
16 |
13 |
$190.59 |
| 90698 |
|
24 |
14 |
$155.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
14 |
$143.50 |
| 85018 |
|
18 |
15 |
$41.93 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
12 |
$0.00 |