| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,062 |
2,668 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,537 |
1,415 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
445 |
420 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
383 |
381 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
220 |
216 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
150 |
135 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
62 |
55 |
$624.13 |
| 90688 |
|
184 |
180 |
$396.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
26 |
$222.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
13 |
$91.01 |
| 87276 |
|
27 |
27 |
$80.51 |
| 87275 |
|
27 |
27 |
$76.60 |
| 96127 |
|
250 |
247 |
$41.70 |
| 90633 |
|
148 |
142 |
$0.00 |
| 90670 |
|
30 |
28 |
$0.00 |
| 90710 |
|
13 |
12 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 1036F |
|
16 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
130 |
129 |
$0.00 |
| 90651 |
|
61 |
58 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
19 |
19 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
25 |
$0.00 |
| 90660 |
|
63 |
56 |
$0.00 |
| 90698 |
|
14 |
12 |
$0.00 |