| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,037 |
799 |
$28K |
| 96156 |
|
659 |
648 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
592 |
487 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
88 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
15 |
$902.00 |
| 92552 |
|
569 |
560 |
$874.07 |
| 99173 |
|
567 |
557 |
$678.26 |
| 96160 |
|
94 |
93 |
$77.25 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
87 |
82 |
$60.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
35 |
33 |
$0.00 |
| 3008F |
|
128 |
128 |
$0.00 |
| 96127 |
|
28 |
28 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
12 |
$0.00 |