| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,679 |
4,237 |
$298K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
457 |
436 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
441 |
428 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
368 |
355 |
$24K |
| 99401 |
|
377 |
374 |
$12K |
| 99173 |
|
2,100 |
2,011 |
$10K |
| 90686 |
|
520 |
513 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
112 |
107 |
$7K |
| 92551 |
|
949 |
901 |
$4K |
| 99215 |
Prolong outpt/office vis |
42 |
41 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
206 |
191 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
228 |
124 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,791 |
1,702 |
$2K |
| 82570 |
|
644 |
615 |
$2K |
| 99490 |
Ccm add 20min |
264 |
260 |
$1K |
| 81003 |
|
974 |
926 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$480.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
16 |
15 |
$359.64 |
| 0071A |
|
13 |
13 |
$330.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
87 |
80 |
$306.01 |
| 90670 |
|
13 |
13 |
$257.27 |
| 96160 |
|
70 |
67 |
$194.46 |
| 87400 |
|
14 |
14 |
$60.00 |
| 3074F |
|
3,829 |
3,598 |
$0.00 |
| 99172 |
|
91 |
83 |
$0.00 |
| 97802 |
|
20 |
20 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
39 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
17 |
14 |
$0.00 |
| 1159F |
|
126 |
123 |
$0.00 |
| 3078F |
|
3,530 |
3,309 |
$0.00 |
| 1160F |
|
168 |
161 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
361 |
345 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
17 |
$0.00 |
| 99080 |
|
21 |
21 |
$0.00 |