| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,282 |
3,565 |
$244K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,229 |
1,745 |
$155K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
824 |
786 |
$38K |
| 96127 |
|
1,572 |
1,434 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
119 |
118 |
$14K |
| 90674 |
|
464 |
380 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
68 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
39 |
$5K |
| 93000 |
|
338 |
288 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
26 |
$3K |
| 94760 |
|
1,798 |
1,516 |
$2K |
| 82962 |
|
965 |
873 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
13 |
$234.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$148.85 |
| 90686 |
|
453 |
444 |
$0.00 |
| 97802 |
|
33 |
26 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
21 |
21 |
$0.00 |
| 81002 |
|
28 |
26 |
$0.00 |