| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,142 |
1,935 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,355 |
1,252 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,250 |
1,144 |
$33K |
| 99215 |
Prolong outpt/office vis |
376 |
341 |
$25K |
| 90686 |
|
81 |
81 |
$468.80 |
| 99173 |
|
41 |
40 |
$16.04 |
| 92552 |
|
18 |
17 |
$8.80 |
| 96127 |
|
31 |
27 |
$4.40 |
| 1111F |
|
996 |
882 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
93 |
80 |
$0.00 |
| 3074F |
|
61 |
56 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
487 |
481 |
$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) |
535 |
530 |
$0.00 |
| 3078F |
|
125 |
114 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
63 |
63 |
$0.00 |
| 96160 |
|
67 |
67 |
$0.00 |