| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
519 |
475 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
133 |
116 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
50 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
144 |
141 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
34 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
19 |
$259.28 |
| 90651 |
|
13 |
13 |
$184.00 |
| 90686 |
|
74 |
70 |
$34.18 |
| 99173 |
|
97 |
94 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
62 |
60 |
$0.00 |
| 92551 |
|
65 |
64 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
37 |
36 |
$0.00 |