| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,379 |
1,288 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
644 |
562 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
888 |
808 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
41 |
$3K |
| 92551 |
|
395 |
369 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
342 |
287 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
40 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
168 |
156 |
$1K |
| 99173 |
|
395 |
375 |
$1K |
| 99401 |
|
72 |
58 |
$778.73 |
| S9470 |
Nutritional counseling, dietitian visit |
102 |
92 |
$642.75 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
35 |
30 |
$516.10 |
| 36415 |
Collection of venous blood by venipuncture |
211 |
194 |
$407.12 |
| 81002 |
|
133 |
125 |
$330.60 |
| 96160 |
|
63 |
55 |
$130.83 |
| 81025 |
|
12 |
12 |
$71.34 |
| 90649 |
|
29 |
28 |
$0.08 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
65 |
58 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
15 |
13 |
$0.00 |