| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,683 |
2,466 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,845 |
3,488 |
$126K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
685 |
670 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
587 |
572 |
$34K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
323 |
273 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78 |
77 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
291 |
278 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
340 |
281 |
$2K |
| 99173 |
|
269 |
263 |
$1K |
| 90461 |
|
150 |
139 |
$1K |
| 92551 |
|
183 |
177 |
$954.95 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
30 |
25 |
$824.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
233 |
230 |
$769.00 |
| 90682 |
|
27 |
27 |
$619.50 |
| 83655 |
|
224 |
217 |
$495.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
17 |
$464.48 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
52 |
43 |
$263.11 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
29 |
$214.92 |
| 96161 |
|
104 |
103 |
$186.16 |
| 87807 |
|
13 |
12 |
$159.06 |
| 90670 |
|
42 |
42 |
$90.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
40 |
$88.00 |
| 3074F |
|
864 |
798 |
$75.00 |
| 90686 |
|
145 |
144 |
$61.88 |
| 3078F |
|
866 |
777 |
$55.00 |
| 96127 |
|
15 |
14 |
$27.84 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,005 |
919 |
$0.00 |
| 90677 |
|
57 |
53 |
$0.00 |
| 1036F |
|
88 |
71 |
$0.00 |
| 90673 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,014 |
905 |
$0.00 |
| 4004F |
|
13 |
12 |
$0.00 |