| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,497 |
2,171 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,066 |
1,011 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
767 |
736 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
567 |
515 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
449 |
435 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,783 |
1,378 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
183 |
183 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
110 |
$784.00 |
| 97802 |
|
240 |
239 |
$385.00 |
| 99401 |
|
1,427 |
1,416 |
$22.58 |
| 90688 |
|
15 |
15 |
$0.00 |
| 90686 |
|
107 |
105 |
$0.00 |
| 90698 |
|
55 |
54 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
154 |
153 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90670 |
|
362 |
340 |
$0.00 |
| 90648 |
|
30 |
30 |
$0.00 |
| 90461 |
|
801 |
610 |
$0.00 |
| 90633 |
|
38 |
38 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
30 |
28 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |