| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,653 |
1,570 |
$110K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
535 |
523 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
341 |
335 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
174 |
173 |
$13K |
| 90461 |
|
61 |
61 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,367 |
1,347 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
40 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
237 |
228 |
$2K |
| 90686 |
|
337 |
334 |
$430.56 |
| 81002 |
|
589 |
554 |
$396.92 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
31 |
$264.75 |
| H0049 |
Alcohol and/or drug screening |
19 |
16 |
$177.76 |
| 90680 |
|
137 |
134 |
$110.00 |
| 90698 |
|
214 |
209 |
$70.00 |
| 90670 |
|
325 |
319 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |
| 90744 |
|
40 |
38 |
$0.00 |
| 90697 |
|
17 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
23 |
14 |
$0.00 |