| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,959 |
6,271 |
$507K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,903 |
5,493 |
$359K |
| 99215 |
Prolong outpt/office vis |
140 |
99 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
929 |
902 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
91 |
$8K |
| 90686 |
|
387 |
369 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
61 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
94 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
52 |
$756.64 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
63 |
62 |
$733.30 |
| 96160 |
|
262 |
247 |
$605.58 |
| 99401 |
|
14 |
13 |
$408.63 |
| 90648 |
|
14 |
14 |
$307.44 |
| 90670 |
|
13 |
13 |
$285.48 |
| 90461 |
|
14 |
14 |
$263.78 |
| 90723 |
|
12 |
12 |
$263.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
26 |
$199.92 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |