| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
620 |
480 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
174 |
149 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
112 |
100 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
426 |
377 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
24 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
15 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$191.34 |
| 96161 |
|
40 |
40 |
$166.00 |
| 96127 |
|
21 |
12 |
$57.36 |
| 96160 |
|
21 |
12 |
$49.80 |
| 85018 |
|
22 |
12 |
$38.52 |
| G8432 |
Depression screening not documented, reason not given |
21 |
12 |
$0.00 |
| 90686 |
|
143 |
121 |
$0.00 |
| 90698 |
|
32 |
32 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
125 |
95 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
108 |
83 |
$0.00 |