| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,407 |
7,334 |
$526K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,469 |
2,818 |
$261K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,829 |
3,240 |
$157K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,031 |
899 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
712 |
644 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
470 |
456 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
303 |
290 |
$32K |
| 90461 |
|
957 |
809 |
$28K |
| 92551 |
|
1,730 |
1,534 |
$16K |
| 0001A |
|
68 |
54 |
$2K |
| 0002A |
|
44 |
40 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 0071A |
|
86 |
27 |
$1K |
| 0012A |
|
26 |
26 |
$960.00 |
| 0011A |
|
19 |
18 |
$720.00 |
| 0013A |
|
27 |
19 |
$320.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
39 |
$295.62 |
| 3017F |
|
87 |
78 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| 90686 |
|
26 |
26 |
$0.00 |
| 1036F |
|
25 |
25 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
13 |
$0.00 |
| 99173 |
|
1,691 |
1,503 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
51 |
47 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
113 |
103 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 4040F |
|
42 |
38 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12 |
12 |
$0.00 |