| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,518 |
1,352 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
337 |
326 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
308 |
303 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
103 |
99 |
$6K |
| 99383 |
|
102 |
100 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
356 |
332 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
160 |
158 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
505 |
465 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 99384 |
|
65 |
63 |
$2K |
| 99382 |
|
35 |
29 |
$2K |
| 99381 |
|
16 |
13 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
986 |
946 |
$186.88 |
| 96127 |
|
249 |
235 |
$82.17 |
| 86580 |
|
48 |
43 |
$80.51 |
| 92551 |
|
757 |
734 |
$61.00 |
| 97802 |
|
54 |
52 |
$54.06 |
| 99173 |
|
780 |
762 |
$9.35 |
| 90685 |
|
55 |
53 |
$4.00 |
| 90680 |
|
125 |
116 |
$0.00 |
| 90698 |
|
157 |
141 |
$0.00 |
| 90620 |
|
24 |
24 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
337 |
330 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
113 |
107 |
$0.00 |
| 90651 |
|
52 |
52 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
350 |
338 |
$0.00 |
| 90686 |
|
465 |
462 |
$0.00 |
| 90707 |
|
92 |
90 |
$0.00 |
| 90670 |
|
290 |
274 |
$0.00 |
| 90710 |
|
16 |
15 |
$0.00 |
| 90633 |
|
28 |
27 |
$0.00 |
| 90734 |
|
32 |
30 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
30 |
$0.00 |