| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,326 |
3,731 |
$410K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,881 |
1,669 |
$114K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
432 |
417 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
365 |
352 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
840 |
796 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
147 |
142 |
$14K |
| 96127 |
|
646 |
615 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,029 |
450 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
988 |
886 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
55 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
285 |
227 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
250 |
242 |
$5K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
215 |
205 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
24 |
$3K |
| 96161 |
|
135 |
133 |
$3K |
| 99442 |
|
76 |
66 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
900 |
817 |
$2K |
| 87807 |
|
193 |
171 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
118 |
115 |
$2K |
| 99173 |
|
246 |
242 |
$2K |
| 36416 |
|
468 |
444 |
$1K |
| 80305 |
|
165 |
158 |
$995.49 |
| 90674 |
|
34 |
34 |
$161.40 |
| 83655 |
|
17 |
16 |
$156.00 |
| 82962 |
|
55 |
44 |
$72.67 |
| 94760 |
|
29 |
27 |
$41.72 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,779 |
1,629 |
$0.00 |
| 3210F |
|
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
85 |
74 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,744 |
1,587 |
$0.00 |
| 1036F |
|
889 |
795 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
123 |
116 |
$0.00 |
| 99000 |
|
60 |
55 |
$0.00 |
| 90686 |
|
79 |
74 |
$0.00 |
| 90677 |
|
30 |
30 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
112 |
95 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
43 |
38 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| 90697 |
|
28 |
28 |
$0.00 |
| 90656 |
|
18 |
18 |
$0.00 |