| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,929 |
1,756 |
$65K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
254 |
243 |
$10K |
| 90686 |
|
133 |
128 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
27 |
$746.06 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$668.44 |
| 81002 |
|
196 |
188 |
$297.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
36 |
$183.24 |
| 90461 |
|
20 |
19 |
$42.04 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
358 |
341 |
$0.00 |
| 4274F |
|
45 |
41 |
$0.00 |
| 99072 |
|
192 |
165 |
$0.00 |
| 3078F |
|
15 |
12 |
$0.00 |
| 4037F |
|
53 |
51 |
$0.00 |
| 3008F |
|
237 |
224 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
32 |
32 |
$0.00 |
| 3074F |
|
88 |
85 |
$0.00 |
| 3079F |
|
15 |
13 |
$0.00 |