| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,779 |
5,396 |
$222K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,291 |
2,004 |
$102K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
639 |
594 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
471 |
461 |
$36K |
| 99000 |
|
3,972 |
3,512 |
$36K |
| 99384 |
|
151 |
146 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
253 |
238 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
908 |
876 |
$9K |
| 99091 |
|
55 |
54 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
465 |
223 |
$4K |
| 94760 |
|
1,748 |
1,551 |
$2K |
| 0001A |
|
61 |
61 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
25 |
$2K |
| 90674 |
|
183 |
174 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
148 |
144 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
25 |
$2K |
| 99442 |
|
211 |
199 |
$1K |
| 0002A |
|
30 |
29 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
184 |
145 |
$858.37 |
| 90656 |
|
237 |
229 |
$718.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$378.18 |
| 0004A |
|
13 |
12 |
$366.00 |
| 93000 |
|
32 |
31 |
$324.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$289.12 |
| 86580 |
|
47 |
37 |
$264.00 |
| 96160 |
|
144 |
135 |
$239.51 |
| 90734 |
|
31 |
31 |
$150.23 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
12 |
$112.93 |
| 3008F |
|
403 |
347 |
$0.00 |
| 96127 |
|
497 |
470 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
318 |
306 |
$0.00 |
| 91307 |
|
13 |
12 |
$0.00 |
| 1126F |
|
27 |
25 |
$0.00 |
| 91301 |
|
19 |
16 |
$0.00 |
| 1036F |
|
44 |
40 |
$0.00 |
| 3074F |
|
28 |
26 |
$0.00 |
| 91300 |
|
200 |
181 |
$0.00 |
| 1160F |
|
262 |
220 |
$0.00 |
| 1159F |
|
308 |
264 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
137 |
120 |
$0.00 |
| 99401 |
|
200 |
180 |
$0.00 |
| 90649 |
|
56 |
53 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
39 |
37 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
13 |
12 |
$0.00 |
| 3078F |
|
15 |
12 |
$0.00 |