| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,953 |
1,657 |
$89K |
| 99199 |
Unlisted special service, procedure or report |
12,121 |
11,801 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
485 |
435 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
105 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39 |
39 |
$2K |
| 90686 |
|
137 |
136 |
$827.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$339.12 |
| 36415 |
Collection of venous blood by venipuncture |
84 |
79 |
$172.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$105.38 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$42.45 |
| 92551 |
|
27 |
27 |
$6.00 |
| 99173 |
|
27 |
27 |
$6.00 |
| 1036F |
|
25 |
25 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
58 |
39 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
13 |
13 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
137 |
92 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
154 |
108 |
$0.00 |