| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
578 |
546 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
940 |
745 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
128 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
99 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
371 |
308 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
56 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
59 |
$14K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
54 |
50 |
$11.98 |
| 90651 |
|
30 |
30 |
$0.00 |
| 96127 |
|
30 |
29 |
$0.00 |
| 94010 |
|
111 |
108 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
60 |
60 |
$0.00 |
| 97802 |
|
171 |
165 |
$0.00 |
| 92567 |
|
48 |
47 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
46 |
45 |
$0.00 |
| 90686 |
|
56 |
56 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90670 |
|
47 |
46 |
$0.00 |
| 90700 |
|
79 |
78 |
$0.00 |
| 99188 |
|
67 |
67 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
54 |
$0.00 |
| 90648 |
|
47 |
46 |
$0.00 |
| 90461 |
|
123 |
122 |
$0.00 |
| 90713 |
|
50 |
49 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
81 |
$0.00 |
| 99051 |
|
313 |
272 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
248 |
243 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
34 |
34 |
$0.00 |
| 99354 |
|
13 |
13 |
$0.00 |