| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,832 |
7,298 |
$366K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,361 |
2,180 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
720 |
696 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
468 |
441 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
397 |
375 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
595 |
572 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,188 |
1,135 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
306 |
278 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
94 |
93 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
261 |
261 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
989 |
925 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
460 |
225 |
$6K |
| 92552 |
|
264 |
263 |
$3K |
| D1206 |
Topical application of fluoride varnish |
105 |
94 |
$1K |
| 99173 |
|
262 |
262 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$607.92 |
| 90686 |
|
198 |
185 |
$386.16 |
| 90473 |
|
13 |
13 |
$243.12 |
| 81003 |
|
16 |
14 |
$22.50 |
| 1036F |
|
38 |
37 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
171 |
163 |
$0.00 |
| 3017F |
|
112 |
107 |
$0.00 |
| 90647 |
|
29 |
25 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
81 |
79 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
21 |
20 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90715 |
|
31 |
30 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
636 |
608 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
14 |
14 |
$0.00 |
| 90734 |
|
53 |
45 |
$0.00 |
| 90670 |
|
139 |
132 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
39 |
38 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
63 |
58 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
26 |
25 |
$0.00 |
| 90649 |
|
83 |
71 |
$0.00 |
| 90685 |
|
49 |
47 |
$0.00 |