| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
891 |
805 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
606 |
557 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
131 |
130 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
137 |
136 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
109 |
106 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
58 |
53 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
63 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
416 |
343 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
103 |
102 |
$4K |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
241 |
237 |
$117.43 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
336 |
326 |
$0.00 |
| 99188 |
|
32 |
31 |
$0.00 |
| 90707 |
|
25 |
24 |
$0.00 |
| 90670 |
|
40 |
39 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
76 |
$0.00 |
| 90713 |
|
65 |
63 |
$0.00 |
| 90700 |
|
85 |
83 |
$0.00 |
| 90685 |
|
30 |
30 |
$0.00 |
| 90461 |
|
164 |
160 |
$0.00 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
23 |
23 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |
| 90734 |
|
31 |
31 |
$0.00 |
| 90648 |
|
52 |
51 |
$0.00 |
| 94060 |
|
14 |
14 |
$0.00 |
| 90633 |
|
17 |
16 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 96127 |
|
30 |
27 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 92567 |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
75 |
73 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 97802 |
|
241 |
234 |
$0.00 |
| 90651 |
|
51 |
51 |
$0.00 |
| 94010 |
|
88 |
84 |
$0.00 |
| 90680 |
|
15 |
15 |
$0.00 |
| 90686 |
|
120 |
114 |
$0.00 |