| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,970 |
3,435 |
$207K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,226 |
1,915 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
648 |
583 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
266 |
249 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
205 |
175 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
544 |
245 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
80 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
55 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
317 |
289 |
$3K |
| 99051 |
|
43 |
41 |
$900.90 |
| 96127 |
|
226 |
208 |
$779.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
26 |
$548.64 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
41 |
12 |
$503.03 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
28 |
$224.24 |
| 92551 |
|
24 |
24 |
$153.12 |
| 99173 |
|
67 |
59 |
$138.60 |
| 90686 |
|
110 |
100 |
$19.98 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
45 |
42 |
$0.00 |
| 1036F |
|
506 |
455 |
$0.00 |
| 99000 |
|
208 |
201 |
$0.00 |
| 1000F |
|
132 |
125 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
64 |
57 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
153 |
144 |
$0.00 |
| 90651 |
|
35 |
32 |
$0.00 |
| 90680 |
|
28 |
25 |
$0.00 |
| 90716 |
|
15 |
13 |
$0.00 |
| 90670 |
|
148 |
133 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
463 |
424 |
$0.00 |
| 90633 |
|
39 |
36 |
$0.00 |
| 90648 |
|
103 |
94 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
45 |
42 |
$0.00 |
| 90707 |
|
29 |
25 |
$0.00 |
| 90685 |
|
51 |
47 |
$0.00 |
| 90734 |
|
18 |
16 |
$0.00 |