| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,740 |
3,352 |
$194K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,153 |
1,100 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,012 |
1,996 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
326 |
324 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
337 |
337 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
251 |
250 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
246 |
219 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
288 |
282 |
$10K |
| 97802 |
|
1,147 |
1,143 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,097 |
1,093 |
$2K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
726 |
723 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
188 |
186 |
$2K |
| 96127 |
|
281 |
278 |
$807.53 |
| 0072A |
|
13 |
13 |
$387.95 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$151.95 |
| 90461 |
|
334 |
334 |
$0.00 |
| 99072 |
|
45 |
45 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90685 |
|
28 |
28 |
$0.00 |
| 90686 |
|
618 |
613 |
$0.00 |
| 90698 |
|
25 |
25 |
$0.00 |
| 90651 |
|
14 |
13 |
$0.00 |
| 90688 |
|
63 |
63 |
$0.00 |
| 91307 |
|
20 |
18 |
$0.00 |
| 90656 |
|
35 |
35 |
$0.00 |