| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,310 |
1,239 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
699 |
620 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
325 |
316 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
288 |
286 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
776 |
751 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
133 |
132 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
51 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
281 |
277 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
91 |
89 |
$1K |
| 83655 |
|
13 |
13 |
$181.68 |
| 85018 |
|
14 |
14 |
$38.52 |
| 90686 |
|
448 |
438 |
$0.00 |
| 92551 |
|
416 |
414 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,020 |
967 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90647 |
|
25 |
25 |
$0.00 |
| 90651 |
|
96 |
95 |
$0.00 |
| 90696 |
|
14 |
12 |
$0.00 |
| 99173 |
|
479 |
475 |
$0.00 |
| 90734 |
|
39 |
38 |
$0.00 |
| 90685 |
|
67 |
65 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,119 |
1,048 |
$0.00 |
| 90670 |
|
53 |
53 |
$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) |
58 |
57 |
$0.00 |