| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,080 |
2,695 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,558 |
1,471 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
554 |
536 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
488 |
484 |
$39K |
| 97802 |
|
1,165 |
1,154 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
425 |
420 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,705 |
1,672 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
254 |
233 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,249 |
1,190 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
578 |
416 |
$4K |
| 0071A |
|
103 |
63 |
$2K |
| 0072A |
|
38 |
32 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
51 |
$1K |
| 90670 |
|
94 |
94 |
$1K |
| 90686 |
|
408 |
404 |
$547.28 |
| 90619 |
|
27 |
27 |
$152.56 |
| G9968 |
Patient was referred to another clinician or specialist during the measurement period |
1,342 |
1,111 |
$17.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
150 |
141 |
$0.00 |
| 99000 |
|
37 |
37 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
63 |
61 |
$0.00 |
| 90651 |
|
85 |
85 |
$0.00 |
| 91307 |
|
263 |
152 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 99173 |
|
341 |
313 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90700 |
|
28 |
28 |
$0.00 |
| 91300 |
|
61 |
60 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
607 |
542 |
$0.00 |
| 90633 |
|
43 |
43 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
87 |
75 |
$0.00 |
| 90648 |
|
27 |
27 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90715 |
|
31 |
31 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |