| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,446 |
1,924 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,936 |
827 |
$40K |
| 97802 |
|
4,397 |
3,079 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
428 |
255 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,733 |
632 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
390 |
109 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,338 |
963 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
184 |
113 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,158 |
416 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
234 |
33 |
$3K |
| 90688 |
|
515 |
36 |
$3K |
| 99173 |
|
885 |
764 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,652 |
3,676 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$2K |
| 90461 |
|
676 |
218 |
$1K |
| 90700 |
|
251 |
29 |
$881.65 |
| 90670 |
|
194 |
29 |
$652.87 |
| 92551 |
|
1,402 |
821 |
$327.75 |
| 90648 |
|
180 |
16 |
$276.77 |
| 99172 |
|
270 |
24 |
$269.11 |
| 90680 |
|
151 |
13 |
$50.00 |
| 90686 |
|
32 |
32 |
$15.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
149 |
142 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
164 |
154 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
143 |
137 |
$0.00 |