| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,422 |
1,364 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,031 |
1,899 |
$87K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,041 |
943 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,907 |
1,826 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
142 |
139 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
152 |
148 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
88 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
367 |
360 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
82 |
73 |
$4K |
| 96127 |
|
874 |
836 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$358.22 |
| 90688 |
|
60 |
60 |
$337.55 |
| 90648 |
|
53 |
51 |
$15.75 |
| 90656 |
|
94 |
92 |
$15.75 |
| 90670 |
|
40 |
37 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 99000 |
|
53 |
53 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
15 |
15 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |