| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,706 |
2,078 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
725 |
634 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
102 |
98 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
101 |
100 |
$857.49 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$511.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$423.90 |
| 90686 |
|
20 |
19 |
$33.10 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
157 |
133 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
208 |
180 |
$0.00 |
| 99173 |
|
45 |
29 |
$0.00 |
| 92552 |
|
45 |
29 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
34 |
28 |
$0.00 |
| 1036F |
|
43 |
37 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
20 |
17 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
19 |
18 |
$0.00 |