| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,628 |
4,199 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,938 |
1,799 |
$9K |
| 92552 |
|
144 |
144 |
$654.73 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
288 |
274 |
$234.10 |
| 99173 |
|
140 |
140 |
$150.08 |
| 92551 |
|
13 |
13 |
$131.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$76.08 |
| 90686 |
|
12 |
12 |
$45.00 |
| 3074F |
|
342 |
334 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
75 |
74 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
71 |
69 |
$0.00 |
| 3079F |
|
26 |
25 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
51 |
51 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
323 |
322 |
$0.00 |
| 3078F |
|
407 |
399 |
$0.00 |