| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,005 |
3,322 |
$244K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,573 |
2,204 |
$227K |
| 99215 |
Prolong outpt/office vis |
897 |
738 |
$114K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,876 |
1,761 |
$68K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,121 |
1,939 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
250 |
240 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
226 |
219 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
226 |
207 |
$19K |
| 99417 |
Prolong home eval add 15m |
307 |
257 |
$19K |
| 99173 |
|
422 |
395 |
$4K |
| 94760 |
|
2,479 |
1,934 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
129 |
122 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
83 |
78 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
128 |
110 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
138 |
123 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 96127 |
|
79 |
64 |
$771.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
55 |
$730.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$621.95 |
| 90686 |
|
770 |
726 |
$550.30 |
| 0071A |
|
13 |
12 |
$501.77 |
| 90670 |
|
89 |
86 |
$431.62 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
13 |
$354.67 |
| 99000 |
|
1,150 |
972 |
$295.12 |
| 99415 |
Prolong outpt/office vis |
14 |
14 |
$93.86 |
| 90685 |
|
42 |
42 |
$22.31 |
| 90698 |
|
15 |
15 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |