| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,983 |
3,665 |
$170K |
| 92081 |
|
2,240 |
2,239 |
$133K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
803 |
803 |
$77K |
| 92552 |
|
2,226 |
2,225 |
$64K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
251 |
251 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
385 |
384 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,232 |
2,177 |
$15K |
| 90672 |
|
176 |
176 |
$10K |
| 90686 |
|
1,191 |
1,188 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
208 |
$5K |
| 90473 |
|
167 |
167 |
$2K |
| 90715 |
|
12 |
12 |
$1K |
| 86580 |
|
46 |
44 |
$920.00 |
| 90651 |
|
73 |
73 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |