| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,968 |
2,808 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
541 |
479 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
657 |
630 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
346 |
340 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
613 |
584 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
190 |
187 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,703 |
1,671 |
$1K |
| 87428 |
|
191 |
190 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
555 |
540 |
$220.01 |
| 92558 |
|
869 |
861 |
$100.92 |
| 99173 |
|
976 |
954 |
$73.82 |
| 90474 |
|
48 |
48 |
$40.00 |
| 85018 |
|
470 |
448 |
$30.78 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
58 |
58 |
$23.10 |
| 36416 |
|
437 |
404 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
166 |
155 |
$0.00 |
| 90686 |
|
749 |
738 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
788 |
756 |
$0.00 |
| 90723 |
|
191 |
187 |
$0.00 |
| 90651 |
|
124 |
124 |
$0.00 |
| 99000 |
|
330 |
320 |
$0.00 |
| 1126F |
|
208 |
203 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
241 |
239 |
$0.00 |
| 3074F |
|
378 |
372 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
163 |
162 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
138 |
138 |
$0.00 |
| 90647 |
|
196 |
194 |
$0.00 |
| 1160F |
|
103 |
99 |
$0.00 |
| 90670 |
|
310 |
305 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
530 |
507 |
$0.00 |
| 90710 |
|
92 |
90 |
$0.00 |
| 3046F |
|
75 |
75 |
$0.00 |
| 96160 |
|
493 |
482 |
$0.00 |
| 90633 |
|
99 |
98 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90681 |
|
54 |
54 |
$0.00 |
| 83655 |
|
47 |
47 |
$0.00 |
| 90672 |
|
23 |
23 |
$0.00 |