| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,956 |
4,067 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,787 |
1,497 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
364 |
361 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
824 |
813 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
239 |
238 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
182 |
179 |
$7K |
| 99215 |
Prolong outpt/office vis |
36 |
34 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
97 |
95 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
98 |
98 |
$585.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
45 |
$389.80 |
| 99402 |
|
133 |
132 |
$355.57 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
22 |
$84.89 |
| 90461 |
|
14 |
14 |
$53.97 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
94 |
94 |
$0.44 |
| 90649 |
|
34 |
34 |
$0.00 |
| 90658 |
|
43 |
43 |
$0.00 |
| 3008F |
|
41 |
41 |
$0.00 |