| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,264 |
2,949 |
$278K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,840 |
2,564 |
$171K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
260 |
246 |
$35K |
| 96127 |
|
1,692 |
1,546 |
$29K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
875 |
818 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
594 |
578 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
248 |
238 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
219 |
217 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
206 |
197 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
165 |
157 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
304 |
280 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
374 |
367 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
65 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
525 |
509 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
55 |
$5K |
| 0002A |
|
121 |
110 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
246 |
243 |
$5K |
| 0012A |
|
98 |
98 |
$4K |
| 0001A |
|
86 |
81 |
$3K |
| 0011A |
|
97 |
95 |
$3K |
| 99215 |
Prolong outpt/office vis |
28 |
24 |
$3K |
| 99383 |
|
14 |
14 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$1K |
| 90686 |
|
256 |
252 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
44 |
$923.28 |
| 0003A |
|
20 |
20 |
$782.42 |
| 0071A |
|
12 |
12 |
$679.47 |
| 0053A |
|
12 |
12 |
$494.16 |
| 99406 |
|
20 |
19 |
$211.31 |
| 96160 |
|
28 |
27 |
$0.64 |
| 90647 |
|
69 |
68 |
$0.00 |
| 91307 |
|
16 |
13 |
$0.00 |
| 91305 |
|
37 |
35 |
$0.00 |
| 90651 |
|
34 |
33 |
$0.00 |
| 90723 |
|
54 |
54 |
$0.00 |
| 91301 |
|
191 |
185 |
$0.00 |
| 90680 |
|
15 |
15 |
$0.00 |
| 3008F |
|
23 |
12 |
$0.00 |
| 90670 |
|
180 |
175 |
$0.00 |
| 91300 |
|
304 |
264 |
$0.00 |
| 90461 |
|
68 |
67 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 1159F |
|
23 |
12 |
$0.00 |