| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
826 |
712 |
$71K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,160 |
1,073 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
189 |
170 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
105 |
100 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
598 |
543 |
$7K |
| 92551 |
|
580 |
523 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
208 |
178 |
$4K |
| 99173 |
|
550 |
492 |
$4K |
| 99215 |
Prolong outpt/office vis |
36 |
29 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
56 |
42 |
$4K |
| 94760 |
|
1,502 |
1,285 |
$3K |
| 85018 |
|
1,060 |
956 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
24 |
$2K |
| 36416 |
|
1,297 |
1,145 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
14 |
$2K |
| 81002 |
|
505 |
447 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
46 |
40 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
26 |
$720.97 |
| 96127 |
|
68 |
62 |
$699.62 |
| 99401 |
|
33 |
29 |
$624.19 |
| 99000 |
|
45 |
41 |
$117.36 |
| 90686 |
|
231 |
208 |
$87.44 |
| 90700 |
|
13 |
12 |
$1.00 |