| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,350 |
4,842 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,741 |
1,652 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,072 |
1,062 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,114 |
1,100 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
839 |
836 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
631 |
619 |
$33K |
| 87428 |
|
1,784 |
1,722 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,811 |
2,766 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,453 |
1,406 |
$8K |
| 92558 |
|
2,311 |
2,289 |
$6K |
| 83655 |
|
311 |
310 |
$706.94 |
| 85018 |
|
1,088 |
1,077 |
$663.37 |
| 90474 |
|
114 |
112 |
$373.00 |
| 90686 |
|
462 |
455 |
$258.89 |
| 96160 |
|
2,037 |
1,747 |
$215.11 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$87.45 |
| 90715 |
|
94 |
91 |
$41.70 |
| 90681 |
|
161 |
156 |
$25.00 |
| 90734 |
|
193 |
190 |
$10.01 |
| 99173 |
|
2,974 |
2,385 |
$9.05 |
| 90670 |
|
373 |
371 |
$0.32 |
| 90651 |
|
379 |
375 |
$0.01 |
| 90674 |
|
31 |
27 |
$0.01 |
| 90671 |
|
146 |
145 |
$0.01 |
| 99000 |
|
338 |
309 |
$0.00 |
| 90647 |
|
381 |
375 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
692 |
607 |
$0.00 |
| 36416 |
|
194 |
182 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
420 |
377 |
$0.00 |
| 90620 |
|
150 |
148 |
$0.00 |
| 90723 |
|
399 |
393 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 3074F |
|
100 |
87 |
$0.00 |
| 1036F |
|
21 |
12 |
$0.00 |
| 99441 |
|
14 |
13 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 87081 |
|
13 |
13 |
$0.00 |
| 3046F |
|
118 |
115 |
$0.00 |
| 90633 |
|
293 |
288 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
207 |
194 |
$0.00 |
| 90700 |
|
37 |
37 |
$0.00 |
| 3078F |
|
65 |
38 |
$0.00 |
| 90710 |
|
245 |
244 |
$0.00 |
| 1160F |
|
76 |
69 |
$0.00 |
| 1159F |
|
39 |
32 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
63 |
$0.00 |