| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
499 |
473 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
264 |
254 |
$15K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
105 |
98 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
323 |
310 |
$6K |
| 90461 |
|
128 |
125 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
360 |
342 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
26 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 92551 |
|
201 |
188 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
28 |
28 |
$560.00 |
| 81002 |
|
184 |
170 |
$528.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$369.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$328.08 |
| G9153 |
Mapcp demonstration - physician incentive pool |
13 |
13 |
$240.00 |
| 90686 |
|
38 |
37 |
$0.00 |