| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
370 |
370 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
220 |
212 |
$8K |
| 97802 |
|
387 |
387 |
$7K |
| 92552 |
|
282 |
282 |
$2K |
| 90686 |
|
246 |
246 |
$2K |
| 99173 |
|
109 |
109 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
186 |
153 |
$2K |
| 96151 |
|
63 |
62 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
41 |
$846.00 |
| 92081 |
|
138 |
138 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
45 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
22 |
22 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |
| 96127 |
|
102 |
102 |
$0.00 |
| 91307 |
|
16 |
12 |
$0.00 |
| 99384 |
|
78 |
78 |
$0.00 |
| 99383 |
|
30 |
30 |
$0.00 |