| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,360 |
2,329 |
$5K |
| 90688 |
|
168 |
168 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
649 |
649 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
372 |
372 |
$975.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
175 |
173 |
$715.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
32 |
$225.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
122 |
122 |
$222.50 |
| 90756 |
|
19 |
19 |
$175.00 |
| 90687 |
|
33 |
33 |
$140.00 |
| 3008F |
|
1,728 |
1,727 |
$66.00 |
| 99397 |
|
12 |
12 |
$25.00 |
| 1159F |
|
716 |
716 |
$18.00 |
| 1160F |
|
716 |
716 |
$18.00 |
| 3017F |
|
238 |
238 |
$6.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
12 |
12 |
$0.00 |
| 4010F |
|
12 |
12 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
12 |
12 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 90658 |
|
25 |
25 |
$0.00 |