| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,127 |
974 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,624 |
1,402 |
$102K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
270 |
263 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,391 |
1,251 |
$24K |
| 96127 |
|
803 |
639 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
102 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
467 |
429 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
925 |
873 |
$9K |
| 94760 |
|
2,459 |
2,122 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
27 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
115 |
$2K |
| 90686 |
|
510 |
448 |
$2K |
| 92551 |
|
46 |
39 |
$559.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
12 |
$430.30 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
14 |
$167.44 |
| 99173 |
|
31 |
24 |
$140.15 |
| 99000 |
|
163 |
143 |
$99.55 |
| 96160 |
|
12 |
12 |
$2.34 |
| 90670 |
|
27 |
26 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |