| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
852 |
793 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
433 |
422 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
118 |
110 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
96 |
94 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
55 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
196 |
192 |
$3K |
| 90686 |
|
293 |
288 |
$1K |
| 90715 |
|
32 |
31 |
$827.57 |
| 90651 |
|
37 |
34 |
$552.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
33 |
$468.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
46 |
46 |
$294.00 |
| 85018 |
|
37 |
36 |
$87.27 |
| 81003 |
|
14 |
14 |
$27.63 |
| 99173 |
|
243 |
241 |
$0.00 |
| 90670 |
|
37 |
37 |
$0.00 |
| 90685 |
|
49 |
48 |
$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) |
81 |
80 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
733 |
678 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
642 |
609 |
$0.00 |
| 92551 |
|
222 |
221 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |