| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,923 |
1,786 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,382 |
1,270 |
$137K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,777 |
1,757 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
272 |
272 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
186 |
186 |
$18K |
| 99401 |
|
861 |
851 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
589 |
557 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
314 |
313 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
26 |
$313.68 |
| 99173 |
|
668 |
667 |
$241.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
43 |
$198.31 |
| 90686 |
|
429 |
427 |
$103.20 |
| 3008F |
|
13 |
13 |
$25.00 |
| 90688 |
|
65 |
65 |
$17.97 |
| 99429 |
|
14 |
14 |
$0.05 |
| 90656 |
|
45 |
45 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
185 |
175 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
911 |
843 |
$0.00 |
| 90461 |
|
25 |
25 |
$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) |
211 |
201 |
$0.00 |
| 99080 |
|
46 |
46 |
$0.00 |