| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,684 |
1,586 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
430 |
417 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
342 |
342 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
330 |
325 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
854 |
843 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
81 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
474 |
473 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
24 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
53 |
52 |
$616.52 |
| G9007 |
Coordinated care fee, scheduled team conference |
27 |
26 |
$514.50 |
| 90672 |
|
23 |
23 |
$501.20 |
| 90473 |
|
17 |
17 |
$51.00 |
| 96127 |
|
33 |
33 |
$2.77 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
108 |
107 |
$0.16 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
399 |
399 |
$0.00 |
| 90686 |
|
661 |
660 |
$0.00 |
| 91307 |
|
32 |
27 |
$0.00 |
| 90656 |
|
34 |
34 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90461 |
|
64 |
57 |
$0.00 |