| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,026 |
1,890 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
904 |
848 |
$76K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
481 |
480 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
495 |
495 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
405 |
405 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
460 |
459 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
119 |
116 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
456 |
456 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
711 |
710 |
$8K |
| 90651 |
|
99 |
99 |
$552.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$179.35 |
| 83655 |
|
12 |
12 |
$132.36 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90461 |
|
145 |
145 |
$0.00 |
| 97803 |
|
1,359 |
1,358 |
$0.00 |
| 90670 |
|
105 |
105 |
$0.00 |
| 90734 |
|
77 |
77 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
139 |
139 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,503 |
1,502 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,242 |
1,241 |
$0.00 |
| 90716 |
|
28 |
28 |
$0.00 |
| 90698 |
|
56 |
55 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |