| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
707 |
656 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
626 |
597 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,020 |
1,013 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
113 |
112 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
85 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
99 |
96 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$946.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
87 |
87 |
$750.96 |
| 81002 |
|
210 |
208 |
$509.57 |
| 96127 |
|
118 |
118 |
$348.95 |
| 90686 |
|
300 |
298 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
56 |
56 |
$0.00 |
| 90698 |
|
49 |
49 |
$0.00 |
| 90674 |
|
54 |
53 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |
| 90461 |
|
117 |
117 |
$0.00 |
| 90670 |
|
51 |
51 |
$0.00 |