| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90688 |
|
621 |
620 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,165 |
5,089 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,095 |
3,074 |
$5K |
| 90658 |
|
64 |
64 |
$1K |
| 90686 |
|
199 |
199 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,575 |
1,527 |
$1K |
| 99215 |
Prolong outpt/office vis |
777 |
773 |
$942.28 |
| 96156 |
|
2,876 |
2,869 |
$880.76 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
670 |
670 |
$687.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,162 |
1,157 |
$648.64 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,414 |
3,408 |
$628.59 |
| 90662 |
|
16 |
16 |
$509.83 |
| 96150 |
|
369 |
369 |
$247.21 |
| 3725F |
|
4,065 |
4,055 |
$215.70 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
83 |
$165.52 |
| 99173 |
|
956 |
950 |
$155.66 |
| 3008F |
|
5,229 |
5,163 |
$154.70 |
| 3014F |
|
787 |
778 |
$132.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
438 |
421 |
$121.73 |
| 3074F |
|
2,518 |
2,484 |
$82.66 |
| 3017F |
|
530 |
527 |
$70.50 |
| 3078F |
|
2,728 |
2,693 |
$51.00 |
| 1159F |
|
1,511 |
1,500 |
$47.50 |
| 1158F |
|
929 |
928 |
$43.70 |
| 1160F |
|
1,503 |
1,496 |
$37.50 |
| 3077F |
|
611 |
603 |
$28.70 |
| 3015F |
|
494 |
493 |
$27.00 |
| 99386 |
|
28 |
28 |
$25.66 |
| 92552 |
|
413 |
412 |
$23.20 |
| 4010F |
|
49 |
49 |
$22.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
174 |
174 |
$20.00 |
| 96151 |
|
140 |
137 |
$17.27 |
| 1157F |
|
746 |
743 |
$15.00 |
| 4050F |
|
62 |
61 |
$12.00 |
| 3075F |
|
448 |
447 |
$6.00 |
| 92081 |
|
18 |
18 |
$4.66 |
| 3048F |
|
71 |
71 |
$3.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
52 |
$0.00 |
| 4013F |
|
54 |
54 |
$0.00 |
| 1003F |
|
48 |
48 |
$0.00 |
| 97803 |
|
17 |
16 |
$0.00 |
| 90756 |
|
12 |
12 |
$0.00 |
| 3079F |
|
754 |
750 |
$0.00 |
| 1000F |
|
262 |
262 |
$0.00 |
| 1111F |
|
66 |
66 |
$0.00 |
| 1036F |
|
238 |
238 |
$0.00 |
| 3080F |
|
434 |
429 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
199 |
199 |
$0.00 |
| 99385 |
|
62 |
61 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
290 |
289 |
$0.00 |
| 1170F |
|
18 |
18 |
$0.00 |
| 1101F |
|
13 |
13 |
$0.00 |
| 99441 |
|
87 |
86 |
$0.00 |
| 4086F |
|
14 |
14 |
$0.00 |