| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,357 |
6,842 |
$91K |
| 97802 |
|
3,731 |
3,622 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,347 |
3,068 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,202 |
1,188 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
344 |
339 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,201 |
1,193 |
$8K |
| G9920 |
Screening performed and negative |
2,365 |
2,364 |
$6K |
| 90680 |
|
147 |
136 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
448 |
444 |
$1K |
| 92551 |
|
976 |
958 |
$1K |
| 90670 |
|
270 |
269 |
$756.00 |
| 90658 |
|
497 |
490 |
$687.75 |
| 90698 |
|
131 |
131 |
$432.00 |
| 90744 |
|
70 |
70 |
$270.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
133 |
133 |
$260.34 |
| 90655 |
|
26 |
26 |
$135.00 |
| 90707 |
|
96 |
95 |
$96.75 |
| 90716 |
|
78 |
77 |
$96.75 |
| 90633 |
|
52 |
52 |
$54.00 |
| 81002 |
|
931 |
896 |
$16.45 |
| 85018 |
|
836 |
822 |
$11.30 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
686 |
670 |
$10.59 |
| 90734 |
|
25 |
24 |
$9.00 |
| 90700 |
|
12 |
12 |
$9.00 |
| 99173 |
|
865 |
843 |
$5.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
488 |
477 |
$4.42 |
| 90649 |
|
38 |
38 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| 3210F |
|
41 |
41 |
$0.00 |
| 90688 |
|
44 |
44 |
$0.00 |
| 1036F |
|
1,465 |
1,465 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
29 |
29 |
$0.00 |