| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
847 |
732 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
191 |
182 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
404 |
364 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
112 |
107 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
139 |
139 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
55 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
60 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
13 |
$833.15 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
140 |
121 |
$831.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
41 |
$643.23 |
| 99051 |
|
13 |
13 |
$325.00 |
| 81003 |
|
82 |
77 |
$252.07 |
| 87070 |
|
17 |
17 |
$191.34 |
| 96161 |
|
16 |
14 |
$53.95 |
| G8482 |
Influenza immunization administered or previously received |
226 |
166 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
299 |
247 |
$0.00 |
| 90670 |
|
16 |
14 |
$0.00 |
| 99429 |
|
98 |
32 |
$0.00 |
| 90680 |
|
14 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
69 |
48 |
$0.00 |
| 90698 |
|
16 |
14 |
$0.00 |