| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,042 |
2,398 |
$191K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,100 |
979 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
713 |
689 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,457 |
2,355 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
561 |
540 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
476 |
463 |
$28K |
| 99051 |
|
799 |
768 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
158 |
134 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
36 |
25 |
$2K |
| 99188 |
|
128 |
120 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
122 |
117 |
$843.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
50 |
$655.38 |
| 90461 |
|
241 |
228 |
$360.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$354.50 |
| 90651 |
|
256 |
252 |
$340.32 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,748 |
1,521 |
$132.17 |
| 3008F |
|
5,673 |
4,590 |
$107.04 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,182 |
4,173 |
$28.36 |
| 90656 |
|
730 |
707 |
$25.33 |
| 90686 |
|
62 |
61 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
76 |
74 |
$0.00 |
| 90621 |
|
110 |
99 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
252 |
224 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |