| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
735 |
699 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
412 |
393 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
395 |
390 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
288 |
287 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
796 |
782 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
157 |
154 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
124 |
120 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
217 |
213 |
$3K |
| 99242 |
|
15 |
15 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
178 |
177 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$213.46 |
| 90686 |
|
405 |
400 |
$19.03 |
| 99173 |
|
530 |
522 |
$0.00 |
| 90670 |
|
244 |
238 |
$0.00 |
| 90734 |
|
68 |
66 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
78 |
78 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
599 |
553 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90633 |
|
141 |
139 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90685 |
|
108 |
107 |
$0.00 |
| 90647 |
|
190 |
185 |
$0.00 |
| 90723 |
|
148 |
141 |
$0.00 |
| 90680 |
|
82 |
78 |
$0.00 |
| 92551 |
|
462 |
456 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,618 |
1,514 |
$0.00 |
| 90651 |
|
88 |
87 |
$0.00 |
| 90620 |
|
28 |
26 |
$0.00 |