| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
747 |
648 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
426 |
400 |
$3K |
| 92552 |
|
256 |
249 |
$1K |
| 90688 |
|
317 |
307 |
$349.12 |
| 99173 |
|
233 |
227 |
$44.71 |
| 96127 |
|
92 |
88 |
$21.98 |
| G9459 |
Currently a tobacco non-user |
76 |
75 |
$11.25 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
13 |
$0.00 |
| 90707 |
|
34 |
34 |
$0.00 |
| S9999 |
Sales tax |
769 |
702 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 90461 |
|
38 |
37 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$0.00 |