| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,098 |
6,605 |
$0.00 |
| 3075F |
|
409 |
406 |
$0.00 |
| 3074F |
|
1,670 |
1,611 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,218 |
4,091 |
$0.00 |
| 99429 |
|
552 |
549 |
$0.00 |
| 99406 |
|
1,505 |
1,502 |
$0.00 |
| G9604 |
Patient survey results not available |
735 |
732 |
$0.00 |
| 3079F |
|
436 |
432 |
$0.00 |
| 3080F |
|
96 |
94 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
144 |
141 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
294 |
292 |
$0.00 |
| 90686 |
|
58 |
58 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,195 |
4,786 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,709 |
1,705 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39 |
39 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
990 |
989 |
$0.00 |
| 3078F |
|
1,668 |
1,604 |
$0.00 |
| 99408 |
|
1,459 |
1,455 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
325 |
323 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
406 |
406 |
$0.00 |
| 92552 |
|
26 |
26 |
$0.00 |
| 3077F |
|
65 |
64 |
$0.00 |
| 90658 |
|
174 |
171 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$0.00 |
| 97803 |
|
50 |
48 |
$0.00 |
| 99173 |
|
28 |
27 |
$0.00 |
| 81003 |
|
38 |
38 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
55 |
$0.00 |