| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,567 |
1,504 |
$10K |
| 92551 |
|
565 |
557 |
$5K |
| 99215 |
Prolong outpt/office vis |
39 |
39 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
149 |
130 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
887 |
863 |
$2K |
| 99384 |
|
12 |
12 |
$918.08 |
| G9920 |
Screening performed and negative |
300 |
300 |
$724.42 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
28 |
28 |
$457.24 |
| 99490 |
Ccm add 20min |
120 |
120 |
$413.60 |
| 99443 |
|
41 |
41 |
$252.94 |
| 85018 |
|
719 |
698 |
$234.65 |
| 94760 |
|
2,610 |
2,526 |
$225.19 |
| 96127 |
|
388 |
388 |
$187.28 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$86.82 |
| 97802 |
|
16 |
15 |
$30.05 |
| 1159F |
|
559 |
537 |
$0.00 |
| 3078F |
|
24 |
24 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |
| 1160F |
|
558 |
536 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
73 |
73 |
$0.00 |
| 99173 |
|
35 |
35 |
$0.00 |
| 99172 |
|
51 |
50 |
$0.00 |
| 1125F |
|
60 |
55 |
$0.00 |
| 3079F |
|
16 |
13 |
$0.00 |