| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,925 |
1,815 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,372 |
1,357 |
$14K |
| 92551 |
|
1,179 |
1,170 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
180 |
178 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$916.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
422 |
405 |
$770.28 |
| 99401 |
|
925 |
916 |
$726.40 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
72 |
$650.91 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
106 |
106 |
$547.12 |
| 36415 |
Collection of venous blood by venipuncture |
1,522 |
1,491 |
$461.25 |
| 99173 |
|
1,201 |
1,193 |
$358.50 |
| 86580 |
|
436 |
431 |
$312.15 |
| 97802 |
|
934 |
932 |
$195.47 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$99.31 |
| 90686 |
|
704 |
703 |
$23.53 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$15.76 |
| H0001 |
Alcohol and/or drug assessment |
286 |
286 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
204 |
203 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
305 |
305 |
$0.00 |
| 90672 |
|
60 |
60 |
$0.00 |
| 90461 |
|
15 |
15 |
$0.00 |