| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,189 |
1,969 |
$113K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
771 |
761 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,544 |
1,418 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
309 |
306 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,611 |
879 |
$18K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
777 |
762 |
$8K |
| 97802 |
|
345 |
340 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
25 |
$2K |
| 96160 |
|
880 |
870 |
$2K |
| 97169 |
|
38 |
37 |
$1K |
| 90734 |
|
47 |
47 |
$951.76 |
| 90461 |
|
132 |
100 |
$951.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
27 |
$793.77 |
| 90686 |
|
187 |
182 |
$211.99 |
| 92567 |
|
13 |
12 |
$147.90 |
| S9451 |
Exercise classes, non-physician provider, per session |
197 |
197 |
$0.00 |
| 90656 |
|
31 |
29 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |