| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
670 |
636 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
68 |
67 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
79 |
77 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
149 |
146 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
161 |
158 |
$921.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
38 |
$584.35 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$134.33 |
| 90686 |
|
43 |
43 |
$68.36 |
| 82962 |
|
16 |
16 |
$28.48 |
| 81003 |
|
17 |
15 |
$19.09 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
624 |
581 |
$0.00 |
| 99173 |
|
157 |
156 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
13 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
496 |
475 |
$0.00 |
| 92551 |
|
117 |
117 |
$0.00 |
| 90651 |
|
25 |
25 |
$0.00 |