| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,214 |
1,094 |
$32K |
| 92588 |
|
217 |
215 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
544 |
542 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
68 |
61 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
430 |
413 |
$1K |
| 96127 |
|
980 |
976 |
$1K |
| 90686 |
|
241 |
241 |
$328.43 |
| 94010 |
|
12 |
12 |
$300.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$170.00 |
| 96160 |
|
1,018 |
1,010 |
$87.28 |
| 99051 |
|
30 |
28 |
$78.75 |
| 99000 |
|
1,166 |
1,101 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,016 |
909 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
25 |
25 |
$0.00 |
| 99429 |
|
455 |
451 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
533 |
490 |
$0.00 |
| 36416 |
|
151 |
151 |
$0.00 |
| 92587 |
|
551 |
550 |
$0.00 |
| 85018 |
|
139 |
139 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
83 |
81 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
37 |
37 |
$0.00 |
| 94760 |
|
25 |
24 |
$0.00 |
| 97802 |
|
25 |
25 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27 |
27 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
25 |
25 |
$0.00 |
| 99173 |
|
314 |
314 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
63 |
$0.00 |
| 99401 |
|
30 |
30 |
$0.00 |
| 99072 |
|
183 |
172 |
$0.00 |
| 87400 |
|
21 |
16 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |