| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,226 |
2,879 |
$293K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,667 |
1,495 |
$102K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,004 |
2,921 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
575 |
575 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
377 |
377 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
314 |
314 |
$37K |
| 92551 |
|
2,113 |
2,112 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
202 |
198 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
633 |
599 |
$16K |
| 90461 |
|
526 |
521 |
$13K |
| S9451 |
Exercise classes, non-physician provider, per session |
1,874 |
1,871 |
$12K |
| 99401 |
|
284 |
280 |
$10K |
| 97802 |
|
1,914 |
1,911 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
48 |
48 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
479 |
478 |
$4K |
| 99173 |
|
1,885 |
1,882 |
$3K |
| 0072A |
|
64 |
64 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,609 |
1,579 |
$2K |
| 0071A |
|
46 |
46 |
$2K |
| 96127 |
|
537 |
536 |
$2K |
| 90686 |
|
833 |
832 |
$402.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$325.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$170.30 |
| 99429 |
|
15 |
15 |
$125.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
824 |
822 |
$90.00 |
| 3074F |
|
720 |
718 |
$85.00 |
| 3078F |
|
715 |
713 |
$85.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
238 |
238 |
$52.00 |
| 90656 |
|
73 |
73 |
$23.53 |
| 99000 |
|
115 |
108 |
$0.00 |
| 3008F |
|
868 |
866 |
$0.00 |
| 1000F |
|
24 |
24 |
$0.00 |
| 1036F |
|
24 |
24 |
$0.00 |
| 90744 |
|
25 |
25 |
$0.00 |
| 1220F |
|
12 |
12 |
$0.00 |
| 91307 |
|
103 |
90 |
$0.00 |
| 3725F |
|
68 |
68 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
165 |
165 |
$0.00 |