| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,328 |
1,064 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
672 |
608 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
415 |
405 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
228 |
227 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
127 |
125 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
61 |
$3K |
| 92558 |
|
279 |
276 |
$1K |
| H0049 |
Alcohol and/or drug screening |
16 |
16 |
$148.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
39 |
$102.78 |
| 83655 |
|
15 |
15 |
$82.53 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
47 |
41 |
$69.49 |
| 85018 |
|
15 |
15 |
$19.50 |
| 90671 |
|
40 |
39 |
$0.00 |
| 90700 |
|
52 |
52 |
$0.00 |
| 90713 |
|
25 |
25 |
$0.00 |
| 99173 |
|
249 |
214 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 90461 |
|
28 |
28 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
50 |
45 |
$0.00 |
| 1111F |
|
26 |
26 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
228 |
196 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
78 |
78 |
$0.00 |
| 36416 |
|
16 |
16 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |